Staci Harr, P.T.

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

05235 Issued in OH

Practice address

2125 Royce St
Portsmouth, OH 45662-4714

Phone

(740) 354-8634

NPI assigned

Feb 8, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Staci Caudill Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1328659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328659200000",
    "number": "1982976734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1068 MORRIS LANE BLUE RUN RD",
            "city": "LUCASVILLE",
            "state": "OH",
            "postal_code": "456488039",
            "telephone_number": "740-285-4277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 ROYCE ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456624714",
            "telephone_number": "740-354-8634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARR",
        "first_name": "STACI",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-08",
        "last_updated": "2012-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "OH",
            "license": "05235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACI",
            "last_name": "CAUDILL",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Derek Harmon, D.O.
• Monique Y Harmon
• Jacob Harr
• Joshua Lee Harr, APRN, FNP, FAANP
• Kimberly Sue Harr
• Zachary A Harr, PA
• William Harrell, QMHS
• Alex Jarome Harris
• Courtney Marie Harris, CNP
• James A Harris, APRN

• Geriatric Physical Therapist in Portsmouth, OH
• Providers in Portsmouth, OH by specialty
• Geriatric Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; 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.