James Dale Harris, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2009036029 Issued in MO

Practice address

322 N Central Ave
Eureka, MO 63025-1826

Phone

(636) 938-4065

Fax

(636) 938-4067

NPI assigned

Dec 3, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Reddy Health and Performance Inc

  • Physical Therapist
  • Florissant, MO
  • NPI 1902125123
  NPD (past)

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

{
    "created_epoch": "1259798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259798400000",
    "number": "1891023701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9137 N SWAN CIR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631441161",
            "telephone_number": "314-495-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 N CENTRAL AVE",
            "city": "EUREKA",
            "state": "MO",
            "postal_code": "630251826",
            "telephone_number": "636-938-4065",
            "fax_number": "636-938-4067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JAMES",
        "middle_name": "DALE",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-03",
        "last_updated": "2009-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2009036029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caleb Paul Gorman, DC
• Ted Allen Green, M.D.
• Jack Dean Griffin Jr., DMD PC FAGD
• Tara Han, OTD, OTR/L
• Geralda F Hancock, DC
• Gisoo Hashemi, RPH
• Healthcare Pharmacy Inc
• Heather R Hill MD LLC
• Sharon Henderson
• Herzog Crawford and Flynn, LLC

• Physical Therapist in Eureka, MO
• Providers in Eureka, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2009; 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.