Individual provider Active NPI

Lindsey Davis, PT,DPT

  • Physical Therapist
  • Memphis, TN
National Provider Identifier
1063984342
Registry record updated Jan 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT0000010619 Issued in TN
Practice address
9293 Poplar Ave
Memphis, TN 38138-7921
Phone
(850) 588-9641
Fax
(601) 308-5103
NPI assigned
Dec 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT5640 MS
Physical Therapist 225100000X PT0000010619 TN Primary

Addresses

Primary practice location

9293 Poplar Ave
Memphis, TN 38138-7921

Mailing address

9293 Poplar Ave
Memphis, TN 38138-7921
Phone (850) 588-9641

Other names 1

  • Lindsey Atkins Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190221001605 TN Practitioner - Physical Therapist in Private Practice 3971842766
I20210727002717 MS Practitioner - Physical Therapist in Private Practice 3971842766 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10619TNMDGeneral Practice Dentistry
PT5640MSMDPhysical Therapist
PT0000010619TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-Vista Rehab, Inc CurrentSince Jun 22, 2021 Accepting new patients
Tri-Vista Rehab, Inc Physical Therapist CurrentSince Jun 22, 2021 Accepting new patients

Locations

90 Clark Blvd
#A
Tupelo, MS 38804
Phone (662) 205-4282

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1545782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547769600000",
    "number": "1063984342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9293 POPLAR AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381387921",
            "telephone_number": "850-588-9641",
            "fax_number": "601-308-5103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9293 POPLAR AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381387921",
            "telephone_number": "850-588-9641",
            "fax_number": "601-308-5103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LINDSEY",
        "credential": "PT,DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-26",
        "last_updated": "2019-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT5640",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT0000010619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSEY",
            "last_name": "ATKINS",
            "code": "1",
            "type": "Former 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 Jan 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.