Individual provider Active NPI

Steven Pham, PT, DPT

  • Physical Therapist
  • Bartlett, TN
National Provider Identifier
1275390890
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15267 Issued in TN
Practice address
3045 Kate Bond Rd
Bartlett, TN 38133-4004
Phone
(901) 937-3200
Fax
(901) 725-8346
NPI assigned
Feb 29, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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 15267 TN Primary

Addresses

Primary practice location

3045 Kate Bond Rd
Bartlett, TN 38133-4004

Mailing address

3045 Kate Bond Rd
Bartlett, TN 38133-4004
Phone (901) 937-3200

Other practice location 1

5039 Foggy River Ln
Bartlett, TN 38135-6217
Phone (901) 570-4748

Other practice location 2

860 Johnson Fy Rd NE Ste 100
Atlanta, GA 30342-1461
Phone (404) 252-5545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240503001080 GA Practitioner - Occupational Therapist in Private Practice 9638519929 Reassigns benefits to 2 organizations
I20240820004373 TN Practitioner - Physical Therapist in Private Practice 9638519929 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, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MSK Group PCGroup PAC ID 4688574262, 138 clinicians

Practice addresses (Care Compare)

3045 Kate Bond Rd
Bartlett, TN 38133-4004
Phone (901) 641-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
MSK Group, PC Physical Therapist CurrentSince Jul 2, 2024 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Apr 1, 2024 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Apr 1, 2024 Accepting new patients
MSK Group, PC Physical Therapist CurrentSince Jul 2, 2024 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Apr 1, 2024 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Apr 1, 2024 Accepting new patients
MSK Group PC Physical Therapist Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001

1441 Dresden Dr NE
Ste 290
Brookhaven, GA 30319
Phone (470) 575-4333

860 Johnson Fy Rd NE
Ste 100
Sandy Springs, GA 30342
Phone (404) 252-5545

3045 Kate Bond Rd
Bartlett, TN 38133
Phone (901) 381-4664

6286 Briarcrest Ave
Ste 100
Memphis, TN 38120
Phone (901) 259-1600

6286 Briarcrest Ave
#200
Memphis, TN 38120
Phone (901) 259-1600

Organizations & group practices 7

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": "1709164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1275390890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3045 KATE BOND RD",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381334004",
            "telephone_number": "901-937-3200",
            "fax_number": "901-725-8346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3045 KATE BOND RD",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381334004",
            "telephone_number": "901-937-3200",
            "fax_number": "901-725-8346"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5039 Foggy River Ln",
            "address_purpose": "LOCATION",
            "city": "Bartlett",
            "state": "TN",
            "postal_code": "381356217",
            "country_code": "US",
            "telephone_number": "901-570-4748",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "860 Johnson Fy Rd NE Ste 100",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303421461",
            "country_code": "US",
            "telephone_number": "404-252-5545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM",
        "first_name": "STEVEN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-29",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "15267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.