Active NPI
Kathryn A Harmon, PT
- Physical Therapist
- Portland, OR
National Provider Identifier
1932154689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7535
- Practice address
- 12021 NE Glenn Widing Dr
Portland, OR 97220-9050 - Phone
- (612) 964-0060
- NPI assigned
- May 23, 2006
- Last updated
- Jun 8, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 7535 | MN | Primary |
Addresses
Primary practice location
12021 NE Glenn Widing Dr
Portland, OR 97220-9050
Mailing address
12021 NE Glenn Widing Dr
Portland, OR 97220-9050
Phone (612) 964-0060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7535 | MN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baum Incorporated | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433721600000",
"number": "1932154689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12021 NE GLENN WIDING DR",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972209050",
"telephone_number": "612-964-0060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12021 NE GLENN WIDING DR",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972209050",
"telephone_number": "612-964-0060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARMON",
"first_name": "KATHRYN",
"middle_name": "A",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-23",
"last_updated": "2015-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "7535",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.