Individual provider Active NPI

Andrew Jeanfreau

  • Physical Therapist
  • Memphis, TN
National Provider Identifier
1225380751
Registry record updated Nov 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
871 Ridgeway Loop Rd Ste 100
Memphis, TN 38120-4026
Phone
(901) 759-1282
NPI assigned
Oct 8, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2021

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 Primary

Addresses

Primary practice location

871 Ridgeway Loop Rd Ste 100
Memphis, TN 38120-4026

Mailing address

1789 Kirby Pkwy Ste 3
Memphis, TN 38138-3657

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230803001749 TN Practitioner - Physical Therapist in Private Practice 1850752080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Tennessee, HSC, College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jeanfreau Brothers LLCGroup PAC ID 0941661292, 3 clinicians

Practice addresses (Care Compare)

11316 Lebanon Rd
Mount Juliet, TN 37122-5504
Phone (601) 540-0411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jeanfreau Brothers, LLC Physical Therapist CurrentSince May 15, 2023 Accepting new patients
Rehab, Etc., Inc. Physical Therapist CurrentSince Nov 21, 2021 Accepting new patients

Locations

1789 Kirby Pkwy
Ste 3
Memphis, TN 38138
Phone (901) 759-1282

871 Ridgeway Loop Rd
Ste 100
Memphis, TN 38120
Phone (901) 221-9221

11316 Lebanon Rd
Mt Juliet, TN 37122
Phone (601) 540-0411

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1349654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637280000000",
    "number": "1225380751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1789 KIRBY PKWY STE 3",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381383657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 RIDGEWAY LOOP RD STE 100",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381204026",
            "telephone_number": "901-759-1282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEANFREAU",
        "first_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-08",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "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 Nov 19, 2021; 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.

Verify at the official NPI Registry.