Organization Active NPI

Pediatric Therapy Services, LLC

  • Home Health Agency
  • Memphis, TN
National Provider Identifier
1215052691
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
3655612 Issued in TN
Legal business name
PEDIATRIC THERAPY SERVICES, LLC
Practice address
6099 Mount Moriah Road Ext
3M
Memphis, TN 38115-0313
Phone
(901) 864-4030
Fax
(888) 252-7902
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Taralyn BernardNPI 1285034793
Title
Owner
Phone
(901) 864-4030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 3655612 TN Primary

Addresses

Primary practice location

6099 Mount Moriah Road Ext
3M
Memphis, TN 38115-0313

Mailing address

6099 Mount Moriah Road Ext
3M
Memphis, TN 38115-0313
Phone (901) 864-4030

National Provider Directory

National Provider Directory

Locations

6099 Mount Moriah Road Ext
Ste 3M
Memphis, TN 38115
Phone (901) 864-4030

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1215052691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6099 MOUNT MORIAH ROAD EXT",
            "address_2": "3M",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381150313",
            "telephone_number": "901-864-4030",
            "fax_number": "888-252-7902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6099 MOUNT MORIAH ROAD EXT",
            "address_2": "3M",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381150313",
            "telephone_number": "901-864-4030",
            "fax_number": "888-252-7902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "BERNARD",
        "authorized_official_first_name": "TARALYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-864-4030"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TN",
            "license": "3655612",
            "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 Jun 24, 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.