Memphis Neuro Rehabilitation Clinic, LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0000660 Issued in TN

Legal business name

MEMPHIS NEURO REHABILITATION CLINIC, LLC

Practice address

6800 Poplar Ave
Suite 110
Memphis, TN 38138

Phone

(901) 623-9020

Fax

(901) 623-9021

NPI assigned

Mar 29, 2018

Last updated

Mar 29, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Megan Brennan Warr, OTR/L

Title

Owner

Phone

(901) 230-0535

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522281600000",
    "number": "1114422169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 POPLAR AVE",
            "address_2": "SUITE 110",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38138",
            "telephone_number": "901-623-9020",
            "fax_number": "901-623-9021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 POPLAR AVE",
            "address_2": "SUITE 110",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38138",
            "telephone_number": "901-623-9020",
            "fax_number": "901-623-9021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMPHIS NEURO REHABILITATION CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-29",
        "last_updated": "2018-03-29",
        "status": "A",
        "authorized_official_last_name": "WARR",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "BRENNAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-230-0535",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "9626",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "0000660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Memphis, TN
• Providers in Memphis, TN by specialty
• Occupational Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; 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.