Shelia Denise Patrick, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

0000000393 Issued in TN

Practice address

5830 Mount Moriah Rd
Suite 6
Memphis, TN 38115-1607

Phone

(901) 375-9855

Fax

(901) 375-9949

NPI assigned

May 21, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Quality Therapy Services Inc

  • Physical Therapy Clinic/Center
  • Memphis, TN
  • NPI 1982655072
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023227816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2997 ROBBIEDON ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381284902",
            "telephone_number": "901-337-9651",
            "fax_number": "901-375-9949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5830 MOUNT MORIAH RD",
            "address_2": "SUITE 6",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381151607",
            "telephone_number": "901-375-9855",
            "fax_number": "901-375-9949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICK",
        "first_name": "SHELIA",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "0000000393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Kolwaite
• Abigail Kurtz Patrick
• Brett Patrick, M.D.
• Joseph Patrick, MD
• Krisana Patrick
• Trinade C Patrick, RBT
• Trisha Shea Patrick, APN
• Patrickgrapevine
• Patriot Healthcare of Tennessee, LLC (PHC of TN Lenox)
• Patriot Healthcare of Tennessee, LLC (PHC of TN Union)

• Physical Therapy Assistant in Memphis, TN
• Providers in Memphis, TN by specialty
• Physical Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.