Individual provider Active NPI

Ellen Warnock, DPT

  • Physical Therapist
  • Memphis, TN
National Provider Identifier
1134745235
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12877 Issued in TN
Practice address
1314 Peabody Ave
Memphis, TN 38104-3500
Phone
(901) 321-5803
Fax
(901) 405-0250
NPI assigned
Jun 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 12877 TN Primary

Addresses

Primary practice location

1314 Peabody Ave
Memphis, TN 38104-3500

Mailing address

1352 Harbor Park Dr
Memphis, TN 38103-9031
Phone (901) 282-9393

Other practice location 1

265 N Willett St
Memphis, TN 38112-5117
Phone (901) 244-3800

Other practice location 2

6215 Humphreys Blvd Ste 401
Memphis, TN 38120-2382
Phone (901) 255-5221

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210202003240 TN Practitioner - Physical Therapist in Private Practice 3779997739 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memphis Obstetrics and Gynecological Association PCGroup PAC ID 7214918762, 46 clinicians

Practice addresses (Care Compare)

7800 Wolf Trail CV
Germantown, TN 38138-1753
Phone (901) 682-9222

Merit-based Incentive Payment System (MIPS)

Final score
90.6 of 100Reported as group
Quality
92.14
Promoting interoperability
100
Improvement activities
40
Cost
76.54

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12877TNMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Memphis Obstetrics and Gynecological Association PC CurrentSince Feb 1, 2021 Accepting new patients
Moses and Johnson Therapy Associates LLC Physical Therapist CurrentSince Jun 7, 2020 Accepting new patients
Womens Health Specialists, PLLC Current Accepting new patients
Radix Wellness, LLC Past Accepting new patients

Locations

7800 Wolf Trail Cv
Germantown, TN 38138
Phone (901) 682-9222

6215 Humphreys Blvd
Ste 401
Memphis, TN 38120
Phone (901) 682-9222

Interoperability endpoints

  • Direct secure messaging: ellen.mitchell.1@16415.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/16415/brand/2/csg/1/fhir/r4

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1134745235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1352 HARBOR PARK DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381039031",
            "telephone_number": "901-282-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 PEABODY AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381043500",
            "telephone_number": "901-321-5803",
            "fax_number": "901-405-0250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "265 N Willett St",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381125117",
            "country_code": "US",
            "telephone_number": "901-244-3800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6215 Humphreys Blvd Ste 401",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381202382",
            "country_code": "US",
            "telephone_number": "901-255-5221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARNOCK",
        "first_name": "ELLEN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-24",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "12877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; 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.

Verify at the official NPI Registry.