NICHOLAS MARK HARRIS
NPI 1306788765
Physical Therapist - Sports in Big Lake, MN

Active since April 07, 2026
4206 LOON LOOP, BIG LAKE, MN 55309(763) 699-1920 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicholas Mark Harris NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICHOLAS MARK HARRIS (NPI 1306788765) is an individual sports provider in Big Lake, Minnesota and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1306788765
Entity TypeIndividualMale
Primary Taxonomy2251S0007X
Provider Legal NameNICHOLAS MARK HARRIS
Location Address4206 LOON LOOPBig Lake, MN 55309-9023
Mailing Address4206 Loon LoopBig Lake, MN 55309-9023 · (763) 699-1920
Sole ProprietorNo
Enumeration DateApril 7, 2026
NPPES CertifiedApril 6, 2026
NPI 1306788765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Therapist · SportsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251S0007X
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.
4206 LOON LOOP, Big Lake, MN 55309

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicholas Harris's NPI number?

The NPI number for Nicholas Harris is 1306788765. It was assigned to this individual provider in the NPPES registry on April 7, 2026.

Where is Nicholas Harris located?

Nicholas Harris practices at 4206 Loon Loop, Big Lake, MN 55309. The listed phone number is (763) 699-1920.

What is Nicholas Harris's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Sports, with taxonomy code 2251S0007X.

When was this NPI record last updated?

The NPPES record for Nicholas Harris was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.