Organization Active NPI

Lift Therapy, Inc.

Doing business as LIFT Therapy

  • Rehabilitation Clinic/Center
  • Jackson, TN
National Provider Identifier
1114267986
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
LIFT THERAPY, INC.
Doing business as
LIFT Therapy
Practice address
101 Jackson Walk Plaza
Jackson, TN 38301-3008
Phone
(731) 421-6950
Fax
(731) 421-6999
NPI assigned
Feb 15, 2013
Last updated
Sep 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Ms. Tina Prescott
Title
President and Ceo
Phone
(731) 541-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X NU Primary

Addresses

Primary practice location

101 Jackson Walk Plaza
Jackson, TN 38301-3008

Mailing address

101 Jackson Walk Plaza
Jackson, TN 38301-3008
Phone (731) 421-6950

Other identifiers 1

IdentifierTypeStateIssuer
0446707MedicaidTN

Other names 1

  • LIFT Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130515000199 TN Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 5496992257 Practice locations: Selmer, TN; Scotts Hill, TN; Milan, TN; Medina, TN; Jackson, TN; Martin, TN; Lexington, TN; Humboldt, TN…

National Provider Directory

National Provider Directory
Tax ID family
Lift Therapy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

123 Front St
Henderson, TN 38340
Phone (731) 989-0469

3525 Chere Carol Rd
Humboldt, TN 38343
Phone (731) 784-2321

24 Physicians Dr
Jackson, TN 38305
Phone (731) 661-9825

343 Vann Dr
Jackson, TN 38305
Phone (731) 984-7640

614 Carriage House Dr
Jackson, TN 38305
Phone (731) 668-4449

9550 Highway 412 W
Ste A
Lexington, TN 38351
Phone (731) 967-3224

134 Kennedy Dr
Ste B
Martin, TN 38237
Phone (731) 588-3480

225 Grace Cv
Ste B
Medina, TN 38355
Phone (731) 783-3362

29 Garrett Dr
Medina, TN 38355
Phone (731) 783-0263

10362 Highway 100
Scotts Hill, TN 38374
Phone (731) 549-2548

270 E Court Ave
Ste A
Selmer, TN 38375
Phone (731) 934-2952

Practitioners & affiliated clinicians

Practitioners 154

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.

View all 154

NPI Registry JSON

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

{
    "created_epoch": "1360886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1114267986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 JACKSON WALK PLAZA",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383013008",
            "telephone_number": "731-421-6950",
            "fax_number": "731-421-6999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 JACKSON WALK PLAZA",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383013008",
            "telephone_number": "731-421-6950",
            "fax_number": "731-421-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFT THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-15",
        "last_updated": "2025-09-02",
        "certification_date": "2024-12-15",
        "status": "A",
        "authorized_official_last_name": "PRESCOTT",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "731-541-5000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0446707",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIFT Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.