MRS. RACHEL SIDLE


Address: 6515 Poplar Ave Ste 112, Memphis, TN 38119-4878
Phone: 9017951776

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
ABC CPO 03218 01

Office Location

Street Address 6515 POPLAR AVE STE 112
City MEMPHIS
State TN
Zip Code 38119-4878

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801413141 David Cranford Pedorthist 6515 Poplar Ave Ste 112, Memphis, TN 38119-4878 2020-07-02

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 222Z00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Orthotist

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

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City MEMPHIS
Zip Code 38119

Improve Information

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Dataset Information

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.

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