Individual provider Active NPI

James Robert Upton, DPT, PT

  • Physical Therapist
  • Millington, TN
National Provider Identifier
1205651205
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15995 Issued in TN
Practice address
8390 Hwy 51 North, Ste 101
Millington, TN 38053-1632
Phone
(901) 872-6422
Fax
(901) 872-6497
NPI assigned
Nov 15, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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 15995 TN Primary

Addresses

Primary practice location

8390 Hwy 51 North, Ste 101
Millington, TN 38053-1632

Mailing address

6600 Stage Rd Ste 129
Bartlett, TN 38134-3838
Phone (901) 371-0732

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241209000348 TN Practitioner - Physical Therapist in Private Practice 4789110222 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15995TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Leader Physical Therapy Limited Partnership Physical Therapist CurrentSince Nov 25, 2024 Accepting new patients
Leader Physical Therapy Limited Partnership Physical Therapist CurrentSince Nov 25, 2024 Accepting new patients
Leader Physical Therapy Limited Partnership PastSince Nov 17, 2024 Accepting new patients

Locations

6600 Stage Rd
Ste 129
Bartlett, TN 38134
Phone (901) 371-0732

2961 Canada Rd
Ste 107
Lakeland, TN 38002
Phone (901) 866-9239

5039 Park Ave
Ste 102
Memphis, TN 38117
Phone (901) 818-9746

8390 US Highway 51 N
Ste 101
Millington, TN 38053
Phone (901) 872-6422

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1731628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1205651205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 STAGE RD STE 129",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381343838",
            "telephone_number": "901-371-0732",
            "fax_number": "901-371-0859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8390 HWY 51 NORTH, STE 101",
            "city": "MILLINGTON",
            "state": "TN",
            "postal_code": "380531632",
            "telephone_number": "901-872-6422",
            "fax_number": "901-872-6497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPTON",
        "first_name": "JAMES",
        "middle_name": "ROBERT",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-15",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "15995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millington, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.