Individual provider Active NPI

Deanna Rene Harris, DPT

  • Physical Therapist
  • Rancho Cucamonga, CA
National Provider Identifier
1891449062
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
301648 Issued in CA
Practice address
8045 Archibald Ave Ste 150
Rancho Cucamonga, CA 91730-2874
Phone
(909) 310-9850
Fax
(909) 483-1101
NPI assigned
Feb 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 301648 CA Primary

Addresses

Primary practice location

8045 Archibald Ave Ste 150
Rancho Cucamonga, CA 91730-2874

Mailing address

275 W Hospitality LN Ste 103
San Bernardino, CA 92408-3238
Phone (909) 567-2221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220216002131 CA Practitioner - Physical Therapist in Private Practice 8820481740 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Edge Physical Therapy IncGroup PAC ID 6709854508, 6 clinicians
Transit Physical Therapy PCGroup PAC ID 3274899315, 26 clinicians

Practice addresses (Care Compare)

253 N Santa Anita Ave
Arcadia, CA 91006-3114
Phone (626) 294-0070

8045 Archibald Ave
Suite 150
Rancho Cucamonga, CA 91730-2874
Phone (909) 310-9850

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
301648CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Edge Physical Therapy Inc Physical Therapist CurrentSince Jan 7, 2026 Accepting new patients
Transit Physical Therapy PC Physical Therapist CurrentSince Nov 18, 2024 Accepting new patients
Total Wellness Inc Physical Therapist Past Accepting new patients

Locations

253 N Santa Anita Ave
Arcadia, CA 91006
Phone (626) 294-0070

851 E Sixth St
Ste A4
Beaumont, CA 92223
Phone (909) 756-7001

17051 Sierra Lakes Pkwy
Ste 204
Fontana, CA 92336
Phone (909) 686-6826

25915 Barton Rd
Ste 206
Loma Linda, CA 92354
Phone (909) 686-6903

8045 Archibald Ave
Ste 150
Rancho Cucamonga, CA 91730
Phone (909) 310-9850

1850 N Riverside Ave
Ste 240
Rialto, CA 92376
Phone (909) 258-2220

2280 Market St
Ste 230
Riverside, CA 92501
Phone (951) 289-9454

275 W Hospitality Ln
Ste 100
San Bernardino, CA 92408
Phone (909) 567-2221

275 W Hospitality Ln
Ste 102
San Bernardino, CA 92408
Phone (909) 567-2221

275 W Hospitality Ln
Ste 103
Sn Bernrdno, CA 92408
Phone (909) 567-2221

20657 Golden Springs Dr
Ste 113
Walnut, CA 91789
Phone (909) 655-6060

100 N Barranca St
Ste 920
West Covina, CA 91791
Phone (626) 263-6469

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1891449062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 W HOSPITALITY LN STE 103",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083238",
            "telephone_number": "909-567-2221",
            "fax_number": "909-763-3216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8045 ARCHIBALD AVE STE 150",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917302874",
            "telephone_number": "909-310-9850",
            "fax_number": "909-483-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "DEANNA",
        "middle_name": "RENE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-07",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "301648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.