Active NPI
Henry Joseph Nagem III
- Physical Therapist
- Memphis, TN
National Provider Identifier
1275141459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12884
- Practice address
- 6286 Briarcrest Ave Ste 110
Memphis, TN 38120-4023 - Phone
- (901) 259-1600
- Fax
- (901) 259-1698
- NPI assigned
- Jul 14, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 12884 | TN | Primary |
Addresses
Primary practice location
6286 Briarcrest Ave Ste 110
Memphis, TN 38120-4023
Mailing address
6077 Primacy Pkwy Ste 140
Memphis, TN 38119-5754
Phone (901) 725-8347
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12884 | TN | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MSK Group PC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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": "1594684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594684800000",
"number": "1275141459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6077 PRIMACY PKWY STE 140",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381195754",
"telephone_number": "901-725-8347",
"fax_number": "901-259-7637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6286 BRIARCREST AVE STE 110",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381204023",
"telephone_number": "901-259-1600",
"fax_number": "901-259-1698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAGEM",
"first_name": "HENRY",
"middle_name": "JOSEPH",
"name_suffix": "III",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-14",
"last_updated": "2020-07-14",
"certification_date": "2020-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "12884",
"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 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.