Marcus T Harris, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT3192 Issued in MS

Practice address

2475 Lakeland Dr Ste a
Jackson, MS 39232-9505

Phone

(601) 636-6019

Fax

(601) 661-8457

NPI assigned

Oct 19, 2006

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

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Visions Physical Therapy

  • Physical Therapist
  • Flowood, MS
  • NPI 1841397635
  Medicare reassignment NPD Authorized official
• Visions Physical Therapy

  • Physical Therapist
  • Canton, MS
  • NPI 1447313036
  NPD (past) Authorized official
• Premier Rehab

  • Clinic/Center
  • Tougaloo, MS
  • NPI 1790921724
  NPD (past)

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891877924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1054 HIGHLAND COVE PL",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391571523",
            "telephone_number": "601-636-6019",
            "fax_number": "601-661-8457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 LAKELAND DR STE A",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392329505",
            "telephone_number": "601-636-6019",
            "fax_number": "601-661-8457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "MARCUS",
        "middle_name": "T",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT3192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00124552",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "650022649",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7125276",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Walker Harris, MS
• Latarshia Harris, NP
• Latoya Marie Harris
• Laura Love Harris, M.S., C.C.C.
• Luke Edward Harris, MD
• Monica Harris
• Ronald Terrell Harris, RRT
• Rosetta Walker Harris, LCSW
• Shaemik Harris, RN
• Skyellar Harris

• Physical Therapist in Jackson, MS
• Providers in Jackson, MS by specialty
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.