Active NPI
Gail Montee Harriss, BA,BS
- Pediatric Occupational Therapist
- Moreno Valley, CA
National Provider Identifier
1962846477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT 6564
- Practice address
- 11650 Perris Blvd
Moreno Valley, CA 92557-6536 - Phone
- (951) 488-0404
- Fax
- (951) 488-0404
- NPI assigned
- Apr 26, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | |||
| Pediatric Occupational Therapist | 225XP0200X | OT 6564 | CA | Primary |
Addresses
Primary practice location
11650 Perris Blvd
Moreno Valley, CA 92557-6536
Mailing address
54699 Marion View Dr.
Idyllwild, CA 92549
Phone (951) 659-3267
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
- Credentials
- Bachelor of Arts, Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT 6564 | CA | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gail Harriss | 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.
-
- Occupational Therapy Assistant
- Idyllwild, CA
- NPI 1528465176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366934400000",
"number": "1962846477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54699 MARION VIEW DR.",
"city": "IDYLLWILD",
"state": "CA",
"postal_code": "92549",
"telephone_number": "951-659-3267",
"fax_number": "951-659-3267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11650 PERRIS BLVD",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925576536",
"telephone_number": "951-488-0404",
"fax_number": "951-488-0404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISS",
"first_name": "GAIL",
"middle_name": "MONTEE",
"credential": "BA,BS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-26",
"last_updated": "2013-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "CA",
"license": "OT 6564",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moreno Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.