Organization Active NPI

Linden Bellevue Injury Clinic, LLC

  • Physical Therapist
  • Memphis, TN
National Provider Identifier
1235427139
Registry record updated Jul 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
LINDEN BELLEVUE INJURY CLINIC, LLC
Practice address
295 S Bellevue Blvd
Memphis, TN 38104-7517
Phone
(901) 725-0522
Fax
(901) 725-0523
NPI assigned
Jul 13, 2011
Last updated
Jul 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2011

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

Authorized official

Name
Ms. Resa S Barawid, PT
Title
Rehab Director
Phone
(901) 725-0522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

295 S Bellevue Blvd
Memphis, TN 38104-7517

Mailing address

295 S Bellevue Blvd
Memphis, TN 38104-7517
Phone (901) 725-0522

National Provider Directory

National Provider Directory

Locations

295 S Bellevue Blvd
Memphis, TN 38104
Phone (901) 725-0522

NPI Registry JSON

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

{
    "created_epoch": "1310515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310515200000",
    "number": "1235427139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 S BELLEVUE BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381047517",
            "telephone_number": "901-725-0522",
            "fax_number": "901-725-0523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 S BELLEVUE BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381047517",
            "telephone_number": "901-725-0522",
            "fax_number": "901-725-0523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDEN BELLEVUE INJURY CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-13",
        "last_updated": "2011-07-13",
        "status": "A",
        "authorized_official_last_name": "BARAWID",
        "authorized_official_first_name": "RESA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "REHAB DIRECTOR",
        "authorized_official_telephone_number": "901-725-0522",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "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 Jul 13, 2011; 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.