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
- 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
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 199G9MI | Other | MN | BCBS |
| HP49900 | Other | HEALTH PARTNERS | |
| 6405677 | Other | MEDICA |
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
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 and National Provider Directory roles.
-
- Physical Therapist
- Las Vegas, NV
- NPI 1669527891
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": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "199G9MI",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "HP49900",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "6405677",
"state": null
}
],
"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.