MRS. RACHEL SIDLE (NPI# 1316470883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316470883 |
Entity Type | Individual |
Full Name | MRS. RACHEL SIDLE |
Practice Address |
6515 Poplar Ave Ste 112 Memphis TN 38119-4878 |
Practice Telephone | 9017951776 |
Practice Fax Number | 9017951738 |
Mailing Telephone | 9017951776 |
Mailing Fax Number | 9017951738 |
Enumeration Date | 2017-04-11 |
Last Update Date | 2019-01-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 222Z00000X | Orthotist | 215 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
N | 224P00000X | Prosthetist | 195 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ABC | CPO 03218 | 01 |
Street Address |
6515 POPLAR AVE STE 112 |
City | MEMPHIS |
State | TN |
Zip Code | 38119-4878 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801413141 | David Cranford | Pedorthist | 6515 Poplar Ave Ste 112, Memphis, TN 38119-4878 | 2020-07-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417469628 | Jojuan Fullwiley | Behavioral Analyst | 6685 Quince Rd Ste 116, Memphis, TN 38119 | 2017-10-27 |
1336675297 | Jill Budynas Depriest | Counselor | 5583 Murray Ave Ste 203, Memphis, TN 38119 | 2017-05-11 |
1396279220 | Glen Matthew Stamps Jr. | Counselor | 5583 Murray Ave Ste 207, Memphis, TN 38119 | 2017-04-18 |
1598117442 | Hazel Aberdeen | Chiropractor | 1911 Memphis Tennessee, Memphis, TN 38119 | 2016-07-04 |
1831569060 | E-c-t Non Emergency Medical Transport | Non-emergency Medical Transport (VAN) | 6869 Woodlake Dr, Memphis, TN 38119 | 2015-09-30 |
1053781617 | Astrid Roman | Dietitian, Registered | 8020 Hillside Cv, Memphis, MS 38119 | 2015-09-25 |
1467857664 | Allan Jacob Katz | Counselor | 5668 Rex Rd, Suite 104, Memphis, TN 38119 | 2014-10-30 |
1962836015 | Judy Ann Harrick | Acupuncturist | 5575 Poplar Ave., #702, Memphis, TN 38119 | 2013-08-26 |
1366791949 | Jennifer Denyes Bidelman | Audiologist | 5625 Poplar Avenue, Memphis, TN 38119 | 2012-08-29 |
1578833620 | Elizabeth Mary Dion-douglass | Pharmacist | 2891 Kirby Parkway, Memphis, TN 38119 | 2012-01-06 |
Find all providers in zip 38119 |
Taxonomy Code | 222Z00000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Orthotist |
A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164407250 | Larry Butler | Orthotist | 7625 Us Highway 64, Suite 103, Memphis, TN 38133-4066 | 2005-12-12 |
1629502968 | Earl Robertson | Orthotist | 722 N White Station Rd, Memphis, TN 38122-4422 | 2017-04-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851837652 | Jerald Craig Gifford | Orthotist | 1411 Mark Allen Ln Ste G, Murfreesboro, TN 37129-5556 | 2017-01-17 |
1679979249 | David Wiegand | Orthotist | 501 Saddle Dr, Nashville, TN 37221-1905 | 2014-11-10 |
1740550284 | Barry Dee Davidson | Orthotist | 735 W Jackson St, Cookeville, TN 38501-3993 | 2011-12-30 |
1316236441 | John Harold Reynolds | Orthotist | 400 Erin Dr, Knoxville, TN 37919-6205 | 2011-03-29 |
1134453186 | Joe C Harmon | Orthotist | 1089 Eastmoreland, Mphs, TN 38104 | 2009-09-23 |
1821282716 | David Scott Thomas | Orthotist | 2400 E Andrew Johnson Hwy, Greeneville, TN 37745-0948 | 2007-09-04 |
1043404361 | Grady B Fletcher | Orthotist | 2221 Hillsboro Road, Franklin, TN 37069-6200 | 2007-08-29 |
1124248885 | Tien Tran | Orthotist | 748 Walnut Knoll Ln, Cordova, TN 38018-3110 | 2007-04-26 |
1811037187 | Phillip S Isaacs | Orthotist | 121 21st Avenue North, Suite 207, Nashville, TN 37203 | 2007-02-07 |
1467492660 | Mark Wesley Anderson | Orthotist | 1079 Vendall Rd, Dyersburg, TN 38024-1622 | 2006-06-07 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on MRS. RACHEL SIDLE.
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.