Staci Bree Harris, DPT in Santa Monica, CA - Medicare Physical Therapist In Private Practice Provider

Staci Bree Harris, DPT is a medicare enrolled "Physical Therapist" provider in Santa Monica, California. She graduated from medical school in 2019 and has 7 years of diverse experience with area of expertise as Physical Therapist In Private Practice. Her current practice location is 1526 14th St Ste 101, Santa Monica, California. You can reach out to her office (for appointments etc.) via phone at (520) 406-4128.

Staci Bree Harris is licensed to practice in California (license number PT298558) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1215595830.

Contact Information

	Staci Bree Harris, DPT
	1526 14th St Ste 101, Santa Monica, CA 90404-3320
	(520) 406-4128
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Staci Bree Harris
Gender	Female
Speciality	Physical Therapist In Private Practice
Experience	7 Years
Location	1526 14th St Ste 101, Santa Monica, California
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Staci Bree Harris graduated from medical school in 2019

NPI Data:

NPI Number: 1215595830
Provider Enumeration Date: 05/29/2019
Last Update Date: 07/07/2026

Medicare PECOS Information:

PECOS PAC ID: 9335475219
Enrollment ID: I20200908001815

Medical Identifiers

Medical identifiers for Staci Bree Harris such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215595830	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT298558 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Staci Bree Harris allows following entities to bill medicare on her behalf.

Provider Name	Peak Performance Consulting Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1780749697 PECOS PAC ID: 0345223764 Enrollment ID: O20040608000842

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Staci Bree Harris is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Staci Bree Harris, DPT 12130 Ohio Ave Apt 311, Los Angeles, CA 90025-2580 Ph: () -	Staci Bree Harris, DPT 1526 14th St Ste 101, Santa Monica, CA 90404-3320 Ph: (520) 406-4128

Reviews and Comments

Physical Therapist in Santa Monica, CA

Mr. Jared Spencer Vagy, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 719 Santa Monica Blvd, Santa Monica, CA 90401 Phone: 310-260-9039
Rebecca Marie Pitts, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2010 Wilshire Blvd, Santa Monica, CA 90403 Phone: 310-878-2540
Eleanor Bachman, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1233 20th St Apt 4, Santa Monica, CA 90404 Phone: 917-755-8910
Lori Jean Mccarty, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 427 Wilshire Blvd, Santa Monica, CA 90401 Phone: 310-656-8600 Fax: 310-656-8606
Caitlin E Berry, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1450 Cloverfield Blvd, Santa Monica, CA 90404 Phone: 310-828-6584 Fax: 310-453-3373
Michael Allan Andersen, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 719 Santa Monica Blvd, Santa Monica, CA 90401 Phone: 310-260-9039
Adrienne Telemaque, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1450 Cloverfield Blvd, Santa Monica, CA 90404 Phone: 310-828-6584 Fax: 310-453-3373

Staci Bree Harris, DPT - Medicare Physical Therapist in Santa Monica, CA