Healthcare Provider Details

I. General information

NPI: 1497828131
Provider Name (Legal Business Name): BELINDA JO HARRISON M.S.P.T., P.R.P.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/17/2006
Last Update Date: 01/24/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1004 BOSTON NECK RD UNIT 11
NARRAGANSETT RI
02882-1755
US

IV. Provider business mailing address

52 PEPPER BUSH TRL
SAUNDERSTOWN RI
02874-2343
US

V. Phone/Fax

Practice location:
  • Phone: 401-269-9510
  • Fax: 401-284-0031
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number01768
License Number StateRI
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberRI01768
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: