Active NPI
Tiana Justine Bridges, OTR/L
- Occupational Therapist
- Southaven, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT-4364
- Practice address
- 7111 Southcrest Pkwy Ste 105
Southaven, MS 38671-4851 - Phone
- (901) 261-2506
- Fax
- (901) 261-2590
- NPI assigned
- Nov 10, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT-4364 | MS | Primary |
| Occupational Therapist | 225X00000X | 8628 | TN |
Addresses
Primary practice location
7111 Southcrest Pkwy Ste 105
Southaven, MS 38671-4851
Mailing address
6077 E Primacy Pkwy Ste 140
Memphis, TN 38119-5754
Phone (901) 725-8347
Other practice location 1
6286 Briarcrest Ave Ste 110
Memphis, TN 38120-4023
Phone (901) 261-2506
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8628 | Other | TN | TN LICENSE |
| OT-4364 | Other | MS | MS LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260512002036 | TN | Practitioner - Occupational Therapist in Private Practice | 9931678653 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6286 Briarcrest Ave
Suite 200
Memphis, TN 38120-4023
Phone (901) 641-3000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26682 | CA | MD | Periodontist |
| 8628 | TN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MSK Group, PC | Occupational Therapist | Current | Accepting new patients |
| MSK Group, PC | Past | Accepting new patients |
Locations
7111 Southcrest Pkwy
Ste 105
Southaven, MS 38671
Phone (901) 261-2506
6286 Briarcrest Ave
#200
Memphis, TN 38120
Phone (901) 259-1600
6077 E Primacy Pkwy
Ste 140
Memphis, TN 38119
Phone (901) 725-8347
6286 Briarcrest Ave
Memphis, TN 38120
Phone (901) 259-1600
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Southaven, MS
- NPI 1114793189
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785715200000",
"number": "1134099559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6077 E PRIMACY PKWY STE 140",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381195754",
"telephone_number": "901-725-8347",
"fax_number": "901-259-7637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7111 SOUTHCREST PKWY STE 105",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386714851",
"telephone_number": "901-261-2506",
"fax_number": "901-261-2590"
}
],
"practiceLocations": [
{
"address_1": "6286 Briarcrest Ave Ste 110",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381204023",
"country_code": "US",
"telephone_number": "901-261-2506",
"fax_number": "901-261-2590",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRIDGES",
"first_name": "TIANA",
"middle_name": "JUSTINE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-11-10",
"last_updated": "2026-08-03",
"certification_date": "2026-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MS",
"license": "OT-4364",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TN",
"license": "8628",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TN LICENSE",
"identifier": "8628",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MS LICENSE",
"identifier": "OT-4364",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southaven, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.