Zachary Kyle Tate, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

3964 Goodman Rd E Ste 111
Southaven, MS 38672-8761

Phone

(662) 890-6953

Fax

(662) 890-6954

NPI assigned

Sep 8, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1504828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504828800000",
    "number": "1093233157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CRESCENT CENTRE DR STE 600",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370677286",
            "telephone_number": "615-373-1350",
            "fax_number": "615-221-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3964 GOODMAN RD E STE 111",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386728761",
            "telephone_number": "662-890-6953",
            "fax_number": "662-890-6954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE",
        "first_name": "ZACHARY",
        "middle_name": "KYLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-08",
        "last_updated": "2017-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amir Adel Tadros, DDS
• Saif M Tahsin, MD
• Talk of the Town Therapy, LLC
• Shannon Taylor Tapp
• Target Medical Inc, Ms
• Caroline Taylor, P-LPC
• Erica Yalanta Taylor, RRT
• Holly Marie Taylor, PHARMD
• Janet Denise Taylor, PTA
• Neperterri Latrice Taylor

• Physical Therapist in Southaven, MS
• Providers in Southaven, MS by specialty
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2017; 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.