Kira Elise Harris, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501015415 Issued in MI

Practice address

29822 S Wixom Rd
Wixom, MI 48393-3434

Phone

(734) 416-3900

Fax

(734) 416-3904

NPI assigned

Dec 30, 2010

Last updated

Jun 16, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Kira Elise Shoemaker Former name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wholistic Physical Therapy ClinicGroup PAC ID 6709299860, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wholistic Physical Therapy Clinic

  dba Wholistic Physical Therapy

  • Physical Therapist
  • Howell, MI
  • NPI 1215536040
  Medicare reassignment Care Compare group NPD Authorized official
• Wholistic Occupational Therapy Clinic PLLC

  • Occupational Therapist
  • Howell, MI
  • NPI 1912577065

  Physical Therapist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1293667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402876800000",
    "number": "1851695118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29822 S WIXOM RD",
            "city": "WIXOM",
            "state": "MI",
            "postal_code": "483933434",
            "telephone_number": "734-416-3900",
            "fax_number": "734-416-3904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "KIRA",
        "middle_name": "ELISE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-30",
        "last_updated": "2014-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501015415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIRA",
            "last_name": "SHOEMAKER",
            "middle_name": "ELISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sandra L Greenspan, PA
• Grounded in Grace Counseling PLLC
• Robert Lee Gustitus, DPT
• Farah Gabrial Hado, RPH
• Harbor Oxygen of Southeast Mi, LLC
• Rolandia Harris, LMSW
• Gretchen Marie Hart, MA, LLP,LPC, CAADC
• Artenisa Hatija
• Health Net Connect Inc
• Jennifer Louise Heinz, LPC

• Physical Therapist in Wixom, MI
• Providers in Wixom, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.