Active NPI
Fenix Performance Physiotherapy LLC
- Physical Therapist
- Memphis, TN
National Provider Identifier
1063134070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- FENIX PERFORMANCE PHYSIOTHERAPY LLC
- Practice address
- 6100 Primacy Pkwy Ste 104
Memphis, TN 38119-0705 - Phone
- (901) 426-3225
- NPI assigned
- Sep 15, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matthew Alan Kahre, DPT
- Title
- Owner
- Phone
- (901) 275-5961
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
6100 Primacy Pkwy Ste 104
Memphis, TN 38119-0705
Mailing address
12133 Hidden TRL
Arlington, TN 38002-4577
National Provider Directory
National Provider DirectoryLocations
6100 E Primacy Pkwy
Ste 104
Memphis, TN 38119
Phone (901) 426-3225
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Bartlett, TN
- NPI 1770915092
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663200000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1663200000000",
"number": "1063134070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12133 HIDDEN TRL",
"city": "ARLINGTON",
"state": "TN",
"postal_code": "380024577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6100 PRIMACY PKWY STE 104",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381190705",
"telephone_number": "901-426-3225"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FENIX PERFORMANCE PHYSIOTHERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-15",
"last_updated": "2022-09-15",
"certification_date": "2022-09-15",
"status": "A",
"authorized_official_last_name": "KAHRE",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "ALAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "901-275-5961",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 15, 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.