Physician Compare National (NPI:1144456674)

HEALTHCARE PROVIDER: ADRIAN TIMOTHY HARVEY D.O.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1144456674
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1254587470
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20130703000491
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HARVEY
	Individual professional last name
Provider First Name	ADRIAN
	Individual professional first name
Provider Middle Name	T
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
	Individual professional's medical school
Graduation Year	2006
	Individual professional's medical school graduation year
Primary Specialty	NEUROSURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	SPORTHERAPY LLC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	0749536308
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	26
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	6501 HARRIS PKWY
	Group Practice or individual's line 1 address
City	FORT WORTH
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	761326102
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8173709891
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450135
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	TEXAS HEALTH HARRIS METHODIST HOSPITAL FORT WORTH
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y