Organization Active NPI

Pink Sisters Therapy Services LLC

  • Physical Therapist
  • Cordova, TN
National Provider Identifier
1073300604
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PINK SISTERS THERAPY SERVICES LLC
Practice address
1699 Aspen Green CV
Cordova, TN 38016-0641
Phone
(601) 720-8359
NPI assigned
Apr 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Authorized official

Name
Ms. Maria Teresita Santiago Goan
Title
Member Manager
Phone
(601) 720-8359

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1699 Aspen Green CV
Cordova, TN 38016-0641

Mailing address

1699 Aspen Green CV
Cordova, TN 38016-0641

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250819000730 TN Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4688173453 Receives reassigned benefits from 1 practitioner
Practice locations: Cordova, TN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1745452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745452800000",
    "number": "1073300604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1699 ASPEN GREEN CV",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380160641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1699 ASPEN GREEN CV",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380160641",
            "telephone_number": "601-720-8359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINK SISTERS THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-24",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A",
        "authorized_official_last_name": "GOAN",
        "authorized_official_first_name": "MARIA TERESITA",
        "authorized_official_middle_name": "SANTIAGO",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "601-720-8359",
        "authorized_official_name_prefix": "Ms."
    },
    "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 Cordova, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; 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.