Individual provider Active NPI

Katie Ann Harris, PT

  • Physical Therapist
  • South Portland, ME
National Provider Identifier
1982463758
Registry record updated Jul 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13247 Issued in MN
Practice address
180 Waterman Dr
South Portland, ME 04106-3659
Phone
(207) 550-0660
NPI assigned
Mar 15, 2024
Last updated
Jul 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 61566450 WA
Physical Therapist 225100000X 232423 AK
Physical Therapist 225100000X 7491 ME
Physical Therapist 225100000X 13247 MN Primary
Physical Therapist 225100000X 33165 AZ
Physical Therapist 225100000X 65195 OR

Addresses

Primary practice location

180 Waterman Dr
South Portland, ME 04106-3659

Mailing address

837 140TH LN NW
Andover, MN 55304-4125
Phone (763) 257-9378

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, AK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240730000765 WA Practitioner - Physical Therapist in Private Practice 0446797278 Reassigns benefits to 1 organization
I20250226000969 AK Practitioner - Physical Therapist in Private Practice 0446797278 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rebound Sports and Orthopedic Physical Therapy LLCGroup PAC ID 6204834906, 15 clinicians

Practice addresses (Care Compare)

7731 E Northern Lights Blvd
Anchorage, AK 99504-3572
Phone (907) 245-5555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
65195ORMDPhysical Therapist
PT61566450WAMDPhysical Therapist
13247MNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rebound Sports and Orthopedic Physical Therapy, LLC Physical Therapist CurrentSince Mar 12, 2025 Accepting new patients
Inspire Physical Therapy, Inc., P.S. Physical Therapist CurrentSince Aug 23, 2024 Accepting new patients

Locations

11260 Old Seward Hwy
Anchorage, AK 99515
Phone (907) 341-5555

7731 E Northern Lights Blvd
Anchorage, AK 99504
Phone (907) 339-1760

7731 E Northern Lights Blvd
Ste 2
Anchorage, AK 99504
Phone (907) 245-5555

4740 Avery Ln SE
Lacey, WA 98503
Phone (360) 491-1815

100 Dennis St SW
Ste A
Tumwater, WA 98501
Phone (360) 704-3300

100 Dennis St SW
Ste B
Tumwater, WA 98501
Phone (360) 338-0181

Organizations & group practices 2

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": "1710460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784332800000",
    "number": "1982463758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "837 140TH LN NW",
            "city": "ANDOVER",
            "state": "MN",
            "postal_code": "553044125",
            "telephone_number": "763-257-9378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 WATERMAN DR",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041063659",
            "telephone_number": "207-550-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "KATIE",
        "middle_name": "ANN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-15",
        "last_updated": "2026-07-18",
        "certification_date": "2026-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "61566450",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "232423",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "7491",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "13247",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "33165",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "65195",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.