NPIMap

Organization Active NPI

Moses and Johnson Therapy Associates LLC

  • Physical Therapist
  • Cordova, TN
National Provider Identifier
1073137063
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MOSES AND JOHNSON THERAPY ASSOCIATES LLC
Practice address
256 Germantown Bend CV Ste 102
Cordova, TN 38018-5212
Phone
(901) 522-6671
NPI assigned
Jun 4, 2020
Last updated
Jun 4, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Authorized official

Name
Sara Lynn FultzNPI 1295701142
Title
Co-Owner/Co-Founder
Phone
(662) 801-7448

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
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

256 Germantown Bend CV Ste 102
Cordova, TN 38018-5212

Mailing address

265 N Willett St
Memphis, TN 38112-5117
Phone (901) 244-3800

Other practice location 1

265 N Willett St
Memphis, TN 38112-5117
Phone (901) 244-3800

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1591228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591228800000",
    "number": "1073137063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 N WILLETT ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381125117",
            "telephone_number": "901-244-3800",
            "fax_number": "901-244-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 GERMANTOWN BEND CV STE 102",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380185212",
            "telephone_number": "901-522-6671"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "265 N Willett St",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381125117",
            "country_code": "US",
            "telephone_number": "901-244-3800",
            "fax_number": "901-244-3900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOSES AND JOHNSON THERAPY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-04",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A",
        "authorized_official_last_name": "FULTZ",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CO-OWNER/CO-FOUNDER",
        "authorized_official_telephone_number": "662-801-7448"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; 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.