Harrison Rehab & Wellness Healthcare Agency, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

HARRISON REHAB & WELLNESS HEALTHCARE AGENCY, LLC

Practice address

5558 Liberty Ridge CV
Memphis, TN 38125-4262

Phone

(901) 292-3294

NPI assigned

Oct 2, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tamera HarrisonNPI 1285967000

Title

Executive Director

Phone

(901) 292-3294

Specialties & licenses 1

Addresses

Other names 1

• Dawn of Life Healthcare Services Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tamera Chanae Harrison, MS,PT

  • Physical Therapist
  • Memphis, TN
  • NPI 1285967000
  NPD Authorized official

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

{
    "created_epoch": "1601596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601596800000",
    "number": "1962009977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 W. POPLAR AVE / SUITE 23 / #203",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "38017",
            "telephone_number": "901-292-2394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5558 LIBERTY RIDGE CV",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381254262",
            "telephone_number": "901-292-3294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRISON REHAB & WELLNESS HEALTHCARE AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-02",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "TAMERA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "901-292-3294"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dawn of Life Healthcare Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tinia Harris, PHARMD
• Torrey Le Val Harris, PHARM D
• Tosha A Harris, NNP
• Vonda Kay Harris, OTA
• Yolanda Harris, M.D
• Ashley Verk Harrison, FNP
• Hunter Reed Harrison, MD
• Kaylee Blyss Harrison
• KC Harrison, BSN, RN, MS, CSP-S
• Rachel E. Harrison, MD

• Physical Therapy Clinic/Center in Memphis, TN
• Providers in Memphis, TN by specialty
• Physical Therapy Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; 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.