MR. SHANNON BRUCE HARRIS (NPI# 1437450830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437450830 |
| Entity Type | Individual |
| Full Name | MR. SHANNON BRUCE HARRIS |
| Credential | P.T. |
| Practice Address |
9665 Wilshire Blvd #222 Beverly Hills CA 90212-2340 |
| Practice Telephone | 3102478414 |
| Practice Fax Number | 3102479414 |
| Mailing Telephone | 3102478414 |
| Mailing Fax Number | 3102479414 |
| Enumeration Date | 2010-11-16 |
| Last Update Date | 2010-11-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT 24206 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922653815 | Shannon Ellen Harris | Massage Therapist | 10720 Hutchison Blvd # B, Panama City Beach, FL 32407-3708 | 2019-08-07 |
| 1841774502 | Shannon L Harris | Social Worker | 305 Carpenter Road, Fort Collins, CO 80525 | 2018-09-19 |
| 1659616498 | Shannon M Harris | Case Manager/Care Coordinator | 4 East Village Mall, Cherokee Village, AR 72529 | 2012-12-05 |
| 1073869665 | Shannon Nicole Harris | Social Worker | 521 Nw 9th Ave, Boynton Beach, FL 33435-3032 | 2012-08-01 |
| 1932476819 | Shannon Harris | Social Worker | 5914 Knightwood Ct, Chesterfield, VA 23832-9270 | 2011-11-21 |
| 1205122751 | Shannon Leigh Harris | Speech-Language Pathologist | 194 Euclid Ave, Albany, NY 12208-1402 | 2011-06-23 |
| 1700177185 | Shannon Tawn Harris | Speech-Language Pathologist | 8900 Cobbler Lane, Lafayette, IN 47905 | 2011-04-20 |
| 1740804137 | Shannon Harris | Licensed Vocational Nurse | 1155 Dairy Ashford Rd Ste 560, Houston, TX 77079-3035 | 2020-06-02 |
| 1992339667 | Shannon Ashleigh Harris | Behavior Technician | 6910 S Highland Dr, Cottonwood Heights, UT 84121-3060 | 2020-03-02 |
| 1124672886 | Shannon Harris | Counselor | 7010 E Bogard Rd, Wasilla, AK 99654-4711 | 2019-07-30 |
| Street Address |
9665 WILSHIRE BLVD #222 |
| City | BEVERLY HILLS |
| State | CA |
| Zip Code | 90212-2340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912172867 | Trevor N.g. Medbery | Dentist | 9665 Wilshire Blvd, Suite 222, Beverly Hills, CA 90212-2340 | 2008-04-22 |
| 1083006530 | Dorcas Joy Altman | Chiropractor | 9665 Wilshire Blvd, Suite 450, Beverly Hills, CA 90212-2340 | 2015-02-20 |
| 1669774014 | Body Reform Physical Therapies, Inc. | Clinic/Center | 9665 Wilshire Blvd, #222, Beverly Hills, CA 90212-2340 | 2010-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629535604 | Diego Bautista | Specialist/Technologist, Other | 324 S Beverly Drive #214, Beverely Hills, CA 90212 | 2019-02-26 |
| 1124582978 | California Surgery of Excellence, LLC | Clinic/Center | 269 S Beverly Dr Ste 809, Beverly Hills, CA 90212 | 2019-01-25 |
| 1356818132 | Kari Michelle Sacks | Social Worker | 300 South Beverly Drive, Beverly Hills, CA 90212 | 2018-10-30 |
| 1942782370 | Susan Elizabeth Smiley | Technician, Other | 160 S. Lasky Drive, Beverly Hills, CA 90212 | 2018-09-01 |
| 1417443714 | Sharona Asal Mossazadeh | Physician Assistant | 344 S Rodeo Dr, Beverly Hills, CA 90212 | 2018-07-10 |
| 1760983167 | Nina Rebecca Moradi | Marriage & Family Therapist | 420 S. Beverly Dr., Suite 100-19, Beverly Hills, CA 90212 | 2018-02-22 |
| 1376065946 | Rebecca Shelly Agi | Lactation Consultant, Non-RN | 350 South Reeves Dr., 201, Beverly Hills, CA 90212 | 2017-07-14 |
| 1952853582 | Dmarkis Randolph | Dietetic Technician, Registered | 269 S Beverly Drive, 1038, Beverly Hills, CA 90212 | 2016-10-31 |
| 1023560935 | Barrence Baytos | Kinesiotherapist | 260 S. Beverly Drive, Suite # 210, Beverly Hills, CA 90212 | 2016-10-26 |
| 1467810424 | Laura Fischer | Registered Nurse | 120 S Spalding Dr Ste 301, Beverly Hills, CA 90212 | 2016-02-05 |
| Find all providers in zip 90212 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164750915 | Solange Michelle Borna | Physical Therapist | 9675 Brighton Way Ste 422, Beverly Hills, CA 90210-5139 | 2009-12-04 |
| 1912545062 | Milad Ghasemitabar | Physical Therapist | 200 N Robertson Blvd, Beverly Hills, CA 90211-1769 | 2019-12-18 |
| 1699800854 | Rebecca Schraven | Physical Therapist | 9735 Wilshire Blvd, Suite 421, Beverly Hills, CA 90212-2107 | 2007-02-21 |
| 1871652701 | Dennis Aaron Souza | Physical Therapist | 8920 Wilshire Blvd, Suite 335, Beverly Hills, CA 90211-2007 | 2006-12-06 |
| 1194732180 | Brian C Parsons | Physical Therapist | 9675 Brighton Way, Ste 250, Beverly Hills, CA 90210 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063311 | Kayla Utley | Physical Therapist | 5201 Norris Canyon Rd Ste 230, San Ramon, CA 94583-5405 | 2020-11-06 |
| 1184225054 | Vuk Ekmecic | Physical Therapist | 7908 Rancho Fanita Dr Spc 23, Santee, CA 92071-3421 | 2020-11-05 |
| 1932700283 | Christopher Lui | Physical Therapist | 21621 E Bluebell Ct, Walnut, CA 91789-1443 | 2020-11-03 |
| 1952900789 | Sierra Speck | Physical Therapist | 11701 Wilshire Blvd Ste 14b1, Los Angeles, CA 90025-1547 | 2020-10-22 |
| 1992312086 | Heidi Lynne Anders | Physical Therapist | 5805 W 8th St Apt 205, Los Angeles, CA 90036-4576 | 2020-09-23 |
| 1578176780 | Patricia Isabella Commer | Physical Therapist | 4146 Randolph Ave, Oakland, CA 94602-1314 | 2020-08-26 |
| 1376151126 | Yifu Zhou | Physical Therapist | 1625 W Olympic Blvd Ste 790, Los Angeles, CA 90015-3809 | 2020-07-17 |
| 1033732250 | Sync Physical Therapy & Yoga Inc | Physical Therapist | 5100 Marlborough Dr Ste 101, San Diego, CA 92116-2020 | 2020-05-21 |
| 1043830961 | Dr. Holly Physical Therapy | Physical Therapist | 4500 Shepard St, Bakersfield, CA 93313-2326 | 2020-04-21 |
| 1861011744 | Lauren Jarmusz | Physical Therapist | 1107 2nd Ave Apt 408, Redwood City, CA 94063-4036 | 2020-04-10 |
| Find all providers with the same taxonomy | ||||
| City | BEVERLY HILLS |
| Zip Code | 90212 |
Please comment or provide details below to improve the information on MR. SHANNON BRUCE HARRIS.
| 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.