Total Care Physical Therapy PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT0000003392 Issued in TN

Legal business name

TOTAL CARE PHYSICAL THERAPY PC

Practice address

5575 Poplar Avenue
Suite 321
Memphis, TN 38119

Phone

(901) 761-9798

Fax

(901) 761-9799

NPI assigned

Dec 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Victor O Omotunde, PT DPT

Title

President

Phone

(901) 761-9798

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1174707012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5575 POPLAR AVE",
            "address_2": "SUITE 321",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381193856",
            "telephone_number": "901-761-9798",
            "fax_number": "901-761-9799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5575 POPLAR AVENUE",
            "address_2": "SUITE 321",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38119",
            "telephone_number": "901-761-9798",
            "fax_number": "901-761-9799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL CARE PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "OMOTUNDE",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-761-9798",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TN",
            "license": "PT0000003392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Memphis, TN
• Providers in Memphis, TN by specialty
• Physical Therapy Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.

Verify at the official NPI Registry.