Active NPI
Ellen Warnock, DPT
- Physical Therapist
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12877
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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 100
- Quality
- 92.14
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.54
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12877 | TN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memphis Obstetrics and Gynecological Association PC | Current | Accepting new patients | |
| Moses and Johnson Therapy Associates LLC | Physical Therapist | Current | 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
- ellen.mitchell.1@16415.direct.athenahealth.com
- 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.
-
- Obstetrics & Gynecology Physician
- Bartlett, TN
- NPI 1306884911
-
- Physical Therapist
- Cordova, TN
- NPI 1073137063
-
- Obstetrics & Gynecology Physician
- Germantown, TN
- NPI 1598709263
-
- Medical Specialty Clinic/Center
- Memphis, TN
- NPI 1497244909
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.