DR. ALYSSA LAUREN HARRIS (PT, DPT) – Physical Therapist, NPI 1104699057

DR. ALYSSA LAUREN HARRIS (PT, DPT) is a healthcare provider. based in Las vegas, Nevada. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. PT40819 (FL). The NPI Number for DR. ALYSSA LAUREN HARRIS (PT, DPT) is 1104699057

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
DR. ALYSSA LAUREN HARRIS (PT, DPT)
NPI
1104699057
Phone
(702) 818-5000
Address
9070 W CHEYENNE AVE STE 100
Enumeration Date
2 November 2023
Last Update Date
30 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5616322160
Graduation Year
2023 (3 years ago)
PAC ID
1355791484
Group Practice PAC ID
7810916897
Professional Enrollment ID
I20240102001119
Address ID
FL334121573WE8100XBLVD300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

4,676 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

Provider Addresses for DR. ALYSSA LAUREN HARRIS (PT, DPT)

  • 9070 W CHEYENNE AVE STE 100

    LAS VEGAS, NV 891298935

    Phone: (702) 818-5000

    Fax: (702) 818-5001

    Type: Mailing

  • 9250 CORKSCREW RD STE 10

    ESTERO, FL 339283216

    Phone: (239) 390-1656

    Type: Location

  • 25241 Elementary Way Ste 200

    Bonita Springs, FL 341357883

    Phone: (239) 947-4184

    Fax: (239) 947-4171

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-02

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240102001119IPhysical Therapist In Private PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89129)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7810916897View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeMA
-IL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL

Reviews

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Frequently asked questions

How do I look up DR. ALYSSA LAUREN HARRIS (PT, DPT) by NPI?
Use NPI 1104699057 when you need to reference DR. ALYSSA LAUREN HARRIS (PT, DPT) in forms, claims, or directories.
Does this profile mean DR. ALYSSA LAUREN HARRIS (PT, DPT) is currently active?
Yes — DR. ALYSSA LAUREN HARRIS (PT, DPT) appears active in the national provider directory.
What kind of provider is DR. ALYSSA LAUREN HARRIS (PT, DPT)?
The page reflects Physical Therapist for DR. ALYSSA LAUREN HARRIS (PT, DPT). Clinical services aligned with this taxonomy classification.
Where is DR. ALYSSA LAUREN HARRIS (PT, DPT)'s primary listing?
We display Las Vegas, Nevada because that is what the record indicates for DR. ALYSSA LAUREN HARRIS (PT, DPT).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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