Organization Active NPI

Stuart Harris Bay Area Physical Therapy

  • Physical Therapist
  • Lafayette, CA
National Provider Identifier
1861483117
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
STUART HARRIS BAY AREA PHYSICAL THERAPY
Practice address
911 Moraga Rd
#103
Lafayette, CA 94549-4579
Phone
(925) 284-3840
Fax
(925) 284-3873
NPI assigned
Nov 3, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Ms. Anne Lasson
Title
Vice President
Phone
(408) 570-0510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

911 Moraga Rd
#103
Lafayette, CA 94549-4579

Mailing address

911 Moraga Rd
#103
Lafayette, CA 94549-4579
Phone (925) 284-3840

Other identifiers 4

IdentifierTypeStateIssuer
1047914OtherCACIGNA
ZZZ45863ZOtherCABLUESHIELD
171468600OtherCADOL
8157055OtherCAAETNA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1861483117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 MORAGA RD",
            "address_2": "#103",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945494579",
            "telephone_number": "925-284-3840",
            "fax_number": "925-284-3873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 MORAGA RD",
            "address_2": "#103",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945494579",
            "telephone_number": "925-284-3840",
            "fax_number": "925-284-3873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUART HARRIS BAY AREA PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-03",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "LASSON",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "408-570-0510",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1047914",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUESHIELD",
            "identifier": "ZZZ45863Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOL",
            "identifier": "171468600",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "8157055",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.