Active NPI
Elizabeth Harris, PTA
- Physical Therapy Assistant
- Austin, TX
National Provider Identifier
1942911458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2167126
- Practice address
- 11330 Farrah LN
Austin, TX 78748 - Phone
- (877) 787-3422
- NPI assigned
- Dec 6, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 Therapy Assistant | 225200000X | 2167126 | TX | Primary |
Addresses
Primary practice location
11330 Farrah LN
Austin, TX 78748
Mailing address
801 Sugaree Ave Apt 2107
Austin, TX 78757-1574
Phone (774) 313-6850
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2167126 | TX | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670284800000",
"number": "1942911458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 SUGAREE AVE APT 2107",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787571574",
"telephone_number": "774-313-6850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11330 FARRAH LN",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78748",
"telephone_number": "877-787-3422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "ELIZABETH",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-12-06",
"last_updated": "2022-12-06",
"certification_date": "2022-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "2167126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.