Individual provider Active NPI

Pamela D Ritzline

  • Physical Therapist
  • Memphis, TN
National Provider Identifier
1306049879
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7752 Issued in TN
Practice address
930 Madison Ave
Suite 640
Memphis, TN 38163-2243
Phone
(901) 448-5888
Fax
(901) 448-1411
NPI assigned
Jun 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 7752 TN Primary
Physical Therapist 225100000X 05004551A IN

Addresses

Primary practice location

930 Madison Ave
Suite 640
Memphis, TN 38163-2243

Mailing address

930 Madison Ave
Suite 640
Memphis, TN 38163-2243
Phone (901) 448-5888

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
05004551AINMDPhysical Therapist
7752TNMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306049879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 MADISON AVE",
            "address_2": "SUITE 640",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381632243",
            "telephone_number": "901-448-5888",
            "fax_number": "901-448-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 MADISON AVE",
            "address_2": "SUITE 640",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381632243",
            "telephone_number": "901-448-5888",
            "fax_number": "901-448-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITZLINE",
        "first_name": "PAMELA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "7752",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05004551A",
            "primary": false
        }
    ],
    "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 8, 2007; 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.