Physician Compare National (NPI:1700955655)

HEALTHCARE PROVIDER: JONATHAN HARKER PT

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

Individual Professional Information
NPI	1700955655
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1557625134
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20180507002173
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HARKER
	Individual professional last name
Provider First Name	JONATHAN
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2004
	Individual professional's medical school graduation year
Primary Specialty	PHYSICAL THERAPY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	718 MAIN ST
	Group Practice or individual's line 1 address
City	POMEROY
	Group Practice or individual's city
State	WA
	Group Practice or individual's state
Zip Code	993479718
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5098432356
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y