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MIDTOWN INJURY & PHYSICAL THERAPY CENTER P.C. NPI 1154461218


NPI Information

NPI: 1154461218
Provider Name: MIDTOWN INJURY & PHYSICAL THERAPY CENTER P.C.

Former Legal Business Name: MIDTOWN INJURY & PHYSICAL THERAPY CENTER P.C.

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
1488 MADISON AVE
MEMPHIS, TN
ZIP 38104
Phone: (901) 726-4110
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MIDTOWN INJURY & PHYSICAL THERAPY CENTER P.C. is a general practice in Memphis, TN. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee MIDTOWN INJURY & PHYSICAL THERAPY CENTER P.C. NPI is 1154461218. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Midtown Injury & Physical Therapy Center P.c..

The provider's business location address is:

1488 MADISON AVE
MEMPHIS, TN
ZIP 38104-447
Phone: (901) 726-4110
Fax: (901) 726-4106

The provider's authorized official is Jerry Lee Lovelace .
The authorized official title is Owner and has the following contact phone number (901) 726-4108.

The enumeration date for this NPI number is 2/7/2007 and was last updated on 1/28/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1H80460MEDICARE UPINTENNESSEE
23335622MEDICAIDTENNESSEE
36158760001MEDICARE NSCTENNESSEE
43731897MEDICARE PINTENNESSEE
53731897MEDICARE ID-TYPE UNSPECIFIEDTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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