Active NPI
Aimee S. Lelis
- Physical Therapist
- Memphis, TN
National Provider Identifier
1144477381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT5142
- Practice address
- 1750 Madison Ave
Suite 120
Memphis, TN 38104 - Phone
- (901) 725-2000
- Fax
- (901) 725-2002
- NPI assigned
- Aug 19, 2008
- 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 | PT5142 | TN | Primary |
Addresses
Primary practice location
1750 Madison Ave
Suite 120
Memphis, TN 38104
Mailing address
1750 Madison Ave
Suite 120
Memphis, TN 38104
Phone (901) 725-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT5142 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faith Rehab Healthcare, Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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
- Memphis, TN
- NPI 1366473282
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219104000000",
"number": "1144477381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1750 MADISON AVE",
"address_2": "SUITE 120",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "38104",
"telephone_number": "901-725-2000",
"fax_number": "901-725-2002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1750 MADISON AVE",
"address_2": "SUITE 120",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "38104",
"telephone_number": "901-725-2000",
"fax_number": "901-725-2002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LELIS",
"first_name": "AIMEE",
"middle_name": "S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-19",
"last_updated": "2008-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "PT5142",
"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 Aug 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.