Active NPI
David Harris
- Physical Therapist
- Quincy, FL
National Provider Identifier
1992143101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT18211
- Practice address
- 16 W Washington St
Quincy, FL 32351-2348 - Phone
- (850) 875-2035
- NPI assigned
- Jun 10, 2013
- Last updated
- Jun 10, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | PT18211 | FL | |
| Physical Therapist | 225100000X | PT18211 | FL | Primary |
Addresses
Primary practice location
16 W Washington St
Quincy, FL 32351-2348
Mailing address
1843 Easton Forest Dr
Tallahassee, FL 32317-1405
Phone (850) 694-2700
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 |
|---|---|---|---|
| PT18211 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370822400000",
"number": "1992143101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1843 EASTON FOREST DR",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323171405",
"telephone_number": "850-694-2700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 W WASHINGTON ST",
"city": "QUINCY",
"state": "FL",
"postal_code": "323512348",
"telephone_number": "850-875-2035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "DAVID",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-06-10",
"last_updated": "2013-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "FL",
"license": "PT18211",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT18211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Quincy, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.