Provider Demographics
NPI:1609941848
Name:HARRINGTON, JAMES DERK (LPT, OCS)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:DERK
Last Name:HARRINGTON
Suffix:
Gender:M
Credentials:LPT, OCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9150 HUEBNER RD
Mailing Address - Street 2:SUITE 115
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-1558
Mailing Address - Country:US
Mailing Address - Phone:210-481-7730
Mailing Address - Fax:210-481-7731
Practice Address - Street 1:9150 HUEBNER RD
Practice Address - Street 2:SUITE 115
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-1558
Practice Address - Country:US
Practice Address - Phone:210-481-7730
Practice Address - Fax:210-481-7731
Is Sole Proprietor?:No
Enumeration Date:2006-11-22
Last Update Date:2009-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11214322251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP00695298OtherMEDICARE RAILROAD
TX166807101Medicaid
TX86635TOtherBCBS
TX166807101Medicaid
TX86635TOtherBCBS
8L1216Medicare PIN
TX00Y047Medicare PIN
TXP00695298OtherMEDICARE RAILROAD