TULLAHOMA PEDIATRIC THERAPY, LLC (NPI# 1063042166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063042166 |
| Entity Type | Organization |
| Organization Name | TULLAHOMA PEDIATRIC THERAPY, LLC |
| Practice Address |
5810 Shelby Oaks Dr Ste B Memphis TN 38134-7315 |
| Mailing Address |
1282 Turkey Creek Dr Tullahoma TN 37388-4672 |
| Practice Telephone | 9315819018 |
| Practice Fax Number | 9316236133 |
| Mailing Telephone | 9315819018 |
| Mailing Fax Number | 9316236133 |
| Enumeration Date | 2020-01-17 |
| Last Update Date | 2020-11-09 |
| Authorized Official Name | LAURA M MILLER (OWNER) |
| Authorized Official Telephone | 9315819018 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| N | 2081P0010X |
Physical Medicine & Rehabilitation Specialization: Pediatric Rehabilitation Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities | ||
| N | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities | ||
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
5810 SHELBY OAKS DR STE B |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38134-7315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912432774 | Chelaia Gray | Nurse Practitioner | 5810 Shelby Oaks Dr Ste B, Memphis, TN 38134-7315 | 2017-04-28 |
| 1558987255 | Jireh Health Services | Family Medicine | 5810 Shelby Oaks Dr Ste B, Memphis, TN 38134-7315 | 2020-06-18 |
| 1033753801 | Full Spectrum Aba of Tennessee LLC | Assistant Behavior Analyst | 5810 Shelby Oaks Dr Ste B, Memphis, TN 38134-7315 | 2019-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841839313 | Tiffany Catrell Williams | Technician | 5312 Yellowood Road, Memphis, TN 38134 | 2020-01-02 |
| 1225676489 | Sandra Kay Branch | Technician | 2010 Joe Brooks Dr, Memphis, TN 38134 | 2019-12-18 |
| 1780151092 | Stephen R Hadley | Pharmacist | 3090 Kirby Whitten Rd, Bartlett, TN 38134 | 2018-10-25 |
| 1760962450 | Delta Transportation Services | Non-emergency Medical Transport (VAN) | 2856 Alfaree St, Bartlett, TN 38134 | 2018-08-21 |
| 1013409853 | Chosen Vessel Ministries | Clinic/Center | 6551 Stage Oaks Drive, Suite 4, Bartlett, TN 38134 | 2018-06-06 |
| 1710495858 | Lifetech Ambulance, LLC | Ambulance | 2874 Shelby St Ste 150, Bartlett, TN 38134 | 2018-01-10 |
| 1144744459 | Robin Coughlin | Counselor | 6553 Honeybrook Rd., Memphis, TN 38134 | 2017-07-28 |
| 1174047484 | Shannon Eric Overley | Behavioral Analyst | 5909 Shelby Oaks Drive Suite #100, Memphis, TN 38134 | 2017-07-28 |
| 1063881928 | Nursing Solutions | Nursing Care | 4311 Fiske Valley Drive, Memphis, TN 38134 | 2015-09-22 |
| 1821479254 | Mid-south Healthnet | Community Based Residential Treatment Facility, Mental Illness | 5909 Shelby Oaks Drive Suite 100, Memphis, TN 38134 | 2015-06-11 |
| Find all providers in zip 38134 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326651076 | Phoebe Bauer | Physical Therapist | 5039 Park Ave Ste 102, Memphis, TN 38117-5701 | 2020-08-24 |
| 1215546718 | Kadra Pace | Physical Therapist | 3535 Kirby Pkwy, Memphis, TN 38115-3721 | 2020-07-30 |
| 1134745235 | Ellen Mitchell | Physical Therapist | 265 N Willett St, Memphis, TN 38112-5117 | 2020-06-24 |
| 1255950770 | Jeana Norton | Physical Therapist | 980 Poplar Ave, Memphis, TN 38105-4614 | 2020-04-14 |
| 1386284610 | Faith Nicole Kiphut | Physical Therapist | 930 Madison Ave Dept Of, Memphis, TN 38103-3410 | 2020-01-15 |
| 1316404700 | Mallory Lynn Riddle | Physical Therapist | 535 Mcdermitt Rd, Memphis, TN 38120-1616 | 2019-02-21 |
| 1134693450 | Anne Kathryn Parker | Physical Therapist | 708 Saint Augustine Sq, Memphis, TN 38104-5054 | 2019-01-21 |
| 1639645245 | Cameron Waggoner | Physical Therapist | 1779 Kirby Pkwy # 12582, Memphis, TN 38138-3666 | 2018-10-22 |
| 1366943177 | Calandra White Shannon | Physical Therapist | 8025 Highway 64, Suite 102, Memphis, TN 38133 | 2018-02-27 |
| 1548780752 | Justin M Kilgore | Physical Therapist | 440 N Front St Ste 102, Memphis, TN 38105-1538 | 2017-06-20 |
| Find all providers in MEMPHIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.