Healthcare Provider Details

I. General information

NPI: 1871466078
Provider Name (Legal Business Name): HARRIS PHYSICAL THERAPY AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2025
Last Update Date: 09/30/2025
Certification Date: 09/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 JOE CT
GRAHAM NC
27253-8518
US

IV. Provider business mailing address

104 JOE CT
GRAHAM NC
27253-8518
US

V. Phone/Fax

Practice location:
  • Phone: 336-214-5308
  • Fax:
Mailing address:
  • Phone: 336-214-5308
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MR. CHRISTIAN HARRIS
Title or Position: OWNER/PHYSICAL THERAPIST
Credential: DPT, PT
Phone: 336-214-5308