MR. NICHOLAS MARTIN HARRIS (NPI# 1306350640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306350640 |
| Entity Type | Individual |
| Full Name | MR. NICHOLAS MARTIN HARRIS |
| Credential | PTA |
| Practice Address |
6399 Goodman Rd Olive Branch MS 38654-7070 |
| Mailing Address |
4869 Stone Cross Dr Olive Branch MS 38654-6989 |
| Practice Telephone | 6628928339 |
| Enumeration Date | 2017-11-22 |
| Last Update Date | 2017-11-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | PTA5889 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083240576 | Nicholas R. Harris | Psychologist | 725 Rynex Corners Rd, Schenectady, NY 12306-6914 | 2020-03-17 |
| 1992129969 | Nicholas Harris | Psychologist | 4436 Haughn Rd, Grove City, OH 43123-3219 | 2014-02-12 |
| 1851911051 | Nicholas Andrew Harris | Student in an Organized Health Care Education/Training Program | 3420 5th Ave, Pittsburgh, PA 15213-3205 | 2020-04-17 |
| 1356904726 | Nicholas Harris | Student in an Organized Health Care Education/Training Program | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2019-04-20 |
| 1265993224 | Nicholas Benjamin Harris | Student in an Organized Health Care Education/Training Program | 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2019-03-30 |
| 1275053381 | Nicholas Adam Harris | Social Worker | 1601 Sw Archer Rd, Gainesville, FL 32608-1135 | 2017-06-21 |
| 1265811780 | Nicholas Harris | Social Worker | 100a Haverhill St, Methuen, MA 01844-4251 | 2015-05-29 |
| 1386050250 | Nicholas Booth Harris | Internal Medicine | 5000 Hennessy Blvd, Baton Rouge, LA 70808-4375 | 2014-07-10 |
| 1588950687 | Nicholas Dale Harris | Counselor | 3645 E Mcleod Rd, Bellingham, WA 98226-8700 | 2011-06-27 |
| 1548551286 | Nicholas A Harris | Surgery | 201 4th St Ste 5b, Alexandria, LA 71301-8421 | 2011-04-28 |
| Street Address |
6399 GOODMAN RD |
| City | OLIVE BRANCH |
| State | MS |
| Zip Code | 38654-7070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811930134 | Marcus Shannon King | Physical Therapist | 6399 Goodman Rd, Suite 108, Olive Branch, MS 38654-7070 | 2006-06-14 |
| 1467728006 | Advanced Physical Therapy, LLC | Clinic/Center | 6399 Goodman Rd, Suite 108, Olive Branch, MS 38654-7070 | 2012-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093366213 | Latonya Shontae Binion | Home Health | 5915 Brice Cove North, Olive Branch, MS 38654 | 2019-09-28 |
| 1356828677 | Heath Bryan Coleman, Dds of Mississippi II, Pllc | Dentist | 688 Goodman Rd, Ste 123, Olive Branch, MS 38654 | 2018-07-20 |
| 1629565684 | Alexis Summerville Mcdavis | Pharmacist | 7950 Craft Goodman Frontage Rd, Olive Branch, MS 38654 | 2018-04-16 |
| 1194237206 | Exos Physical Therapy and Sports Medicine, LLC | Physical Therapist | 6542 Goodman Rd, Olive Branch, MS 38654 | 2017-10-30 |
| 1609386515 | Laken Hood Richardson | Physical Therapist | 9085 East Sandidge Cove, Suite 250, Olive Branch, MS 38654 | 2017-10-05 |
| 1275064255 | Heart of Hospice, LLC | Hospice Care, Community Based | 9849 Highway 178 Unit B, Olive Branch, MS 38654 | 2017-03-22 |
| 1023557865 | Michael Patrick Mccallum | Counselor | 9320 Railroad Ave., Olive Branch, MS 38654 | 2017-02-13 |
| 1891179768 | Desoto Children's Clinic - Olive Branch | Pediatrics | 7145 Goodman Road, Olive Branch, MS 38654 | 2015-07-10 |
| 1891185203 | Kristina Harper | Midwife | 9086 Pigeon Roost Rd Ste C, Olive Branch, MS 38654 | 2015-01-23 |
| 1275955098 | Global Medical | Durable Medical Equipment & Medical Supplies | 6229 Hwy 305 Ste L, Olivebranch, MS 38654 | 2014-01-14 |
| Find all providers in zip 38654 | ||||
| Taxonomy Code | 225200000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapy Assistant |
| (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient’s responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life. |
| Notes: Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073996013 | Kevin Kogos | Physical Therapy Assistant | 10713 Oak Leaf Dr, Olive Branch, MS 38654-4802 | 2015-07-08 |
| 1760511638 | Odella Cribbs | Physical Therapy Assistant | 8847 Windersgate Dr, Olive Branch, MS 38654-1258 | 2007-03-05 |
| 1386691632 | Travis Dale Hodgson | Physical Therapy Assistant | 7501 Goodman Rd, Suite I, Olive Branch, MS 38654 | 2006-05-30 |
| 1104847094 | Kendra Alexis Deberry | Physical Therapy Assistant | 5600 Goodman Rd Ste D, Olive Branch, MS 38654-7002 | 2006-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144844838 | Antonio Hughes I | Physical Therapy Assistant | 1776 Cresent Ln, Southaven, MS 38671-7340 | 2020-05-29 |
| 1952922130 | Sagar Surendra Desai | Physical Therapy Assistant | 17045 E Main St, Louisville, MS 39339-2754 | 2020-04-29 |
| 1013547223 | Alma Wollfarth | Physical Therapy Assistant | 203 W Jefferson St, Kosciusko, MS 39090-3620 | 2020-01-16 |
| 1093355752 | Antonio Mccall | Physical Therapy Assistant | 2575 Russum Dr, Southaven, MS 38672-6564 | 2020-01-10 |
| 1467091470 | Amberly Brown | Physical Therapy Assistant | 109 S Davis Ave Ste 4, Cleveland, MS 38732-3447 | 2019-12-23 |
| 1528600343 | Kelsey D Nowell | Physical Therapy Assistant | 3823 Highway 80 East Suite 1100, Pearl, MS 39208 | 2019-10-14 |
| 1811550916 | Melody Michelle Rogers | Physical Therapy Assistant | 4016 Cassimer Ave, Diberville, MS 39540-2309 | 2019-04-15 |
| 1174082440 | Chelsea Mcelroy Huggins | Physical Therapy Assistant | 627 Middleton Rd # 600, Winona, MS 38967-2021 | 2019-03-17 |
| 1902370661 | River City Rehabilitation | Physical Therapy Assistant | 1707 South Colorado Suite A, Greenville, MS 38703 | 2019-01-16 |
| 1376014597 | Kevin Brent Tull | Physical Therapy Assistant | 19525 Old Highway 25 N, Fulton, MS 38843-7286 | 2018-12-16 |
| Find all providers with the same taxonomy | ||||
| City | OLIVE BRANCH |
| Zip Code | 38654 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.