COLE DICKERSON (NPI# 1881075679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881075679 |
| Entity Type | Individual |
| Full Name | COLE DICKERSON |
| Credential | DPT |
| Practice Address |
80 South Prescott Street Memphis TN 38111-4635 |
| Practice Telephone | 9012573422 |
| Practice Fax Number | 9012573423 |
| Mailing Telephone | 9012573422 |
| Mailing Fax Number | 9012573423 |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2015-06-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT0000010465 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 0446657 | 05 | |
| TN | BCBST | 4004523 | 01 |
| Street Address |
80 SOUTH PRESCOTT STREET |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38111-4635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972987139 | Derrick Richard Torres | Physical Therapy Assistant | 80 South Prescott Street, Momentum Physical Rehabilitation, LLC, Memphis, TN 38111-4635 | 2015-07-16 |
| 1265814883 | Tara Canova | Physical Therapy Assistant | 80 South Prescott Street, Momentum Physical Rehabilitation, LLC, Memphis, TN 38111-4635 | 2015-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982168035 | Meghan Weakley Pace | Occupational Therapist | 177 North Highlanld Ave, Memphis, TN 38111 | 2019-01-23 |
| 1386130466 | Christopher Cory Wilbanks | Nurse Practitioner | 3445 Poplar Ave Ste 18, Memphis, TN 38111 | 2018-07-02 |
| 1124523287 | Hands of Health and Rehab | Clinic/Center | 80 N. Tillman St. Ste. 104, Memphis, TN 38111 | 2018-03-29 |
| 1659889889 | Jarod Lenahan | Specialist/Technologist | 1115 East Getwell Loop St, Memphis, TN 38111 | 2018-01-22 |
| 1831645100 | Bobby Winbush | Residential Treatment Facility, Emotionally Disturbed Children | 1167 Parkland Rd, Memphis, TN 38111 | 2016-08-28 |
| 1356797427 | Shilo Satran | Counselor | 208 Waynoka Lane, Memphis, TN 38111 | 2016-05-09 |
| 1346580552 | Bianca Branch | Psychologist | 4166 W Bufford Ellington Dr, Memphis, TN 38111 | 2013-02-25 |
| 1043563935 | Midsouth Vision Center | Optometrist | 3314 Poplar Ave Ste#1, Memphis, TN 38111 | 2012-10-17 |
| 1235407750 | Demetria Nicole Rogers | Pharmacist | 3515 Park Avenue, Memphis, TN 38111 | 2011-12-12 |
| 1326335647 | Jason Thomas Sasser | Nurse Practitioner | 3444 Plaza Ave., The Little Clinic, Memphis, TN 38111 | 2011-07-07 |
| Find all providers in zip 38111 | ||||
| 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.