Lakrisha G Kidd, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1837 Issued in TN

Practice address

6025 Primacy Parkway
Memphis, TN 38119-5763

Phone

(901) 767-1040

Fax

(901) 374-9603

NPI assigned

Aug 6, 2008

Last updated

Aug 6, 2008By the provider in NPPES

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

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1217980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217980800000",
    "number": "1265698435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6025 PRIMACY PKWY",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195763",
            "telephone_number": "901-767-1040",
            "fax_number": "901-374-9603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6025 PRIMACY PARKWAY",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195763",
            "telephone_number": "901-767-1040",
            "fax_number": "901-374-9603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIDD",
        "first_name": "LAKRISHA",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "credential": "LPTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-06",
        "last_updated": "2008-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "1837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ayda W Khuri, RDH, MA
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• Kidney Care Center Memphis LLC
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• Kidney Care Consultants, P.C.
• Kidney Specialists, P.C.
• Kids Care Medical Center

• Physical Therapy Assistant in Memphis, TN
• Providers in Memphis, TN by specialty
• Physical Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.