Clarence Jason Harless, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

4995 Issued in SC

Practice address

9540 N Garnett Rd
Owasso, OK 74055-4406

Phone

(918) 609-1300

NPI assigned

Sep 25, 2023

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)

Not 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.

• Injury Prevention Solutions LLC

  • Physical Therapy Clinic/Center
  • Tulsa, OK
  • NPI 1043339096
  NPD (past)

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1891574299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9540 N GARNETT RD",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740554406",
            "telephone_number": "918-609-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9540 N GARNETT RD",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740554406",
            "telephone_number": "918-609-1300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9136 S Sheridan Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741335328",
            "country_code": "US",
            "telephone_number": "918-488-9991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARLESS",
        "first_name": "CLARENCE",
        "middle_name": "JASON",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SC",
            "license": "4995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Hallquist
• Amy Hammond
• Shaya Hancock, DPT
• Melanie Renee Hanisch, DO
• James Hanlon, MD
• Michelle R Harley, APRN-CNP
• Hannah Harmon
• Jennifer Marie Harmon, MPT
• Niki Harmon
• Harmony Dunning, LLC

• Physical Therapy Assistant in Owasso, OK
• Providers in Owasso, OK by specialty
• Physical Therapy Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.