Organization Active NPI

Memphis Time Out Physical Therapy

  • Sports Physical Therapist
  • Memphis, TN
National Provider Identifier
1063133593
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
Legal business name
MEMPHIS TIME OUT PHYSICAL THERAPY
Practice address
3285 Hacks Cross Rd Ste 104
Memphis, TN 38125-8945
Phone
(901) 484-8537
NPI assigned
Sep 2, 2022
Last updated
Sep 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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

Authorized official

Name
Ahmed Alaina, DPTNPI 1306303268
Title
Owner
Phone
(901) 484-8537

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical Therapist 2251S0007X NU Primary

Addresses

Primary practice location

3285 Hacks Cross Rd Ste 104
Memphis, TN 38125-8945

Mailing address

3285 Hacks Cross Rd Ste 104
Memphis, TN 38125-8945
Phone (901) 484-8537

Other names 1

  • Time Out Physical Therapy Former legal business name

National Provider Directory

National Provider Directory

Locations

3285 Hacks Cross Rd
Ste 104
Memphis, TN 38125
Phone (901) 484-8537

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1662076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662076800000",
    "number": "1063133593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3285 HACKS CROSS RD STE 104",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381258945",
            "telephone_number": "901-484-8537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3285 HACKS CROSS RD STE 104",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381258945",
            "telephone_number": "901-484-8537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMPHIS TIME OUT PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-02",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A",
        "authorized_official_last_name": "ALAINA",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-484-8537",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Time Out Physical Therapy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; 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.