Individual provider · Type 1 NPI

Nicholas Martin Harris, PTA

Physical Therapy Assistant · Southaven, MS

NPI number 1306350640 Active

Practice location

7111 Southcrest Pkwy Ste 105
Southaven, MS 38671-4851

Call (901) 261-2506 Map

Fax (901) 261-2590

Mailing address

4869 Stone Cross Dr
Olive Branch, MS 38654-6989

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA5889 (MS)

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 …

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About NPI 1306350640

Nicholas Martin Harris, PTA's National Provider Identifier is 1306350640, issued on Nov 22, 2017. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Southaven, MS. The record was last updated on Oct 24, 2025.