HARRISON REHAB & WELLNESS HEALTHCARE AGENCY, LLC (NPI# 1962009977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962009977 |
| Entity Type | Organization |
| Organization Name | HARRISON REHAB & WELLNESS HEALTHCARE AGENCY, LLC |
| Practice Address |
5558 Liberty Ridge Cv Memphis TN 38125-4262 |
| Mailing Address |
875 W. Poplar Ave / Suite 23 / #203 Collierville TN 38017 |
| Practice Telephone | 9012923294 |
| Mailing Telephone | 9012922394 |
| Enumeration Date | 2020-10-02 |
| Last Update Date | 2020-10-02 |
| Authorized Official Name | TAMERA HARRISON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9012923294 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Dawn of Life Healthcare Services | Doing Business As Name - Organization |
| Street Address |
5558 LIBERTY RIDGE CV |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38125-4262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285967000 | Tamera Chanae Harrison | Physical Therapist | 5558 Liberty Ridge Cv, Memphis, TN 38125-4262 | 2009-09-11 |
| 1629308127 | Mobile Therapeutic Services, LLC | Clinic/Center | 5558 Liberty Ridge Cv, Memphis, TN 38125-4262 | 2010-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144798448 | Ronald Penn Jr. | Day Training, Developmentally Disabled Services | 4751 Harvest Park Dr., Memphis, TN 38125 | 2018-11-05 |
| 1417458944 | Crestwyn Health Group, LLC | Psychiatry & Neurology | 9485 Crestwyn Hills Cv, Memphis, TN 38125 | 2018-02-21 |
| 1982121323 | Ruthie Rayford | Non-emergency Medical Transport (VAN) | 7244 Grande Bay Cove, Memphis, TN 38125 | 2017-08-25 |
| 1952769119 | Crestwyn Health Group, LLC | Psychiatric Hospital | 9485 Crestwyn Hills Cove, Memphis, TN 38125 | 2016-02-03 |
| 1033590500 | Katherine Brown | Optometrist | 7706 Winchester Road, Suite 105, Memphis, TN 38125 | 2015-06-10 |
| 1073856514 | Quaneshia R Farris | Nurse Practitioner | 7685 Winchester Rd Ste 100, Memphis, TN 38125 | 2013-04-03 |
| 1225379811 | Americare At Southbreeze Assisted Living, LLC | Assisted Living Facility | 3168 Hacks Road Cross, Memphis, TN 38125 | 2013-03-07 |
| 1780934281 | Freds Stores of Tennessee Inc | Pharmacy | 7143 Winchester Rd, Memphis, TN 38125 | 2012-09-12 |
| 1174893598 | Andi Marie Anderson | Nurse Anesthetist, Certified Registered | 3340 Players Club Parkway, Suite 350, Memphis, TN 38125 | 2012-01-02 |
| 1285938266 | Melita Robbins | Behavioral Analyst | 8922 E. Trophy Way, Ste 202, Memphis, TN 38125 | 2011-01-05 |
| Find all providers in zip 38125 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235754888 | Robert Hutchens | Clinic/Center | 871 Ridgeway Loop Rd Ste 100, Memphis, TN 38120-4026 | 2020-06-09 |
| 1427429307 | Making Motion Work for You LLC | Clinic/Center | 2473 Crescent Glen Cir, #210, Memphis, TN 38133-8020 | 2015-10-17 |
| 1255759908 | Agilitas Usa, Inc | Clinic/Center | 1680 Union Ave Ste 106, Memphis, TN 38104-3768 | 2014-03-31 |
| 1992147839 | Matrix Rehab | Clinic/Center | 1336 E Crestwood Dr, Memphis, TN 38119-5021 | 2013-07-19 |
| 1881968311 | Kirby Physiotherapy | Clinic/Center | 3558 Kirby Pkwy, Memphis, TN 38115-4243 | 2012-03-01 |
| 1376848713 | Omega Rehabilitation Group, Inc | Clinic/Center | 4202 Hacks Cross Rd, Suite: 114, Memphis, TN 38125-3757 | 2011-01-16 |
| 1659543635 | Tlc Medical & Physical Therapy Clinic,llc | Clinic/Center | 3624 Austin Peay Hwy Ste 1, Memphis, TN 38128-3771 | 2008-03-30 |
| 1174707012 | Total Care Physical Therapy PC | Clinic/Center | 5575 Poplar Avenue, Suite 321, Memphis, TN 38119 | 2007-12-27 |
| 1366583536 | Therapy Centers of The Southwest I, P.a. | Clinic/Center | 4900 Outland Center Dr, Suite 1002, Memphis, TN 38118-6572 | 2007-02-09 |
| 1982655072 | Quality Therapy Services Inc | Clinic/Center | 5865 Ridgeway Center Pkwy, Suite 300, Memphis, TN 38120-4032 | 2006-05-13 |
| Find all providers in MEMPHIS | ||||
Please comment or provide details below to improve the information on HARRISON REHAB & WELLNESS HEALTHCARE AGENCY, LLC.
| 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.