Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Nicholas Martin Harris, PTA

Individual provider Physical Therapy Assistant · NPI 1306350640

Mr. Nicholas Martin Harris, PTA is a Physical Therapy Assistant in Southaven, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2017
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

7111 Southcrest Pkwy Ste 105
Southaven, MS 38671-4851
Phone: (901) 261-2506
Fax: (901) 261-2590
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA5889 (MS)

Record details

NPI number1306350640
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedNovember 22, 2017
Last updated in NPPESOctober 24, 2025
Certification dateOctober 24, 2025

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