Vanessa Pezeshk, PT,DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0000011355 Issued in TN

Practice address

1211 Union Ave Ste 195
Memphis, TN 38104-6603

Phone

(901) 759-3280

NPI assigned

May 14, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Campbell Clinic, PCGroup PAC ID 9638082076, shared by 23 NPIs, 229 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: vanessa.eddy.1@1366.direct.athenahealth.com

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

{
    "created_epoch": "1747180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1235920877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 COLEHERNE RD",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380177322",
            "telephone_number": "901-833-1192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 UNION AVE STE 195",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381046603",
            "telephone_number": "901-759-3280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEZESHK",
        "first_name": "VANESSA",
        "credential": "PT,DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-14",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "0000011355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Petties & Associates Orthotic / Prosthetics, LLC
• Jamie Ray Pettit, ED.D LPC - MHSP
• Melissa Petty, CRNA
• Sonya Michele Petway-Edwards, DPH
• Maria Lucia Peursum, BEHAVIOR TECHNICIAN
• Sean M Pflaumer, M.D.
• Joseph Pflederer, MD
• Jonna Pfountz, OTR/L
• Rory A Pfund, PHD
• Amanda Pham

• Physical Therapist in Memphis, TN
• Providers in Memphis, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.