Organization Active NPI

Power Physical Therapy and Performance, PLLC

  • Physical Therapist
  • Cordova, TN
National Provider Identifier
1114586633
Registry record updated Sep 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
POWER PHYSICAL THERAPY AND PERFORMANCE, PLLC
Practice address
556 Trinity Creek CV Ste a
Cordova, TN 38018-2279
Phone
(901) 231-5540
NPI assigned
Jun 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2019

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

Authorized official

Name
Dr. Jeffrey Daniels, PTNPI 1346699436
Title
Physical Therapist, Owner
Phone
(618) 978-7607

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

556 Trinity Creek CV Ste a
Cordova, TN 38018-2279

Mailing address

10130 Hammersmith LN
Cordova, TN 38016-0336
Phone (618) 978-7607

National Provider Directory

National Provider Directory

Locations

556 Trinity Creek Cv
Ste A
Cordova, TN 38018
Phone (901) 231-5540

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": "1559952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567382400000",
    "number": "1114586633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10130 HAMMERSMITH LN",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380160336",
            "telephone_number": "618-978-7607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 TRINITY CREEK CV STE A",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380182279",
            "telephone_number": "901-231-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWER PHYSICAL THERAPY AND PERFORMANCE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-08",
        "last_updated": "2019-09-02",
        "status": "A",
        "authorized_official_last_name": "DANIELS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST, OWNER",
        "authorized_official_telephone_number": "618-978-7607",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "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 Sep 2, 2019; 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.