Individual provider Active NPI

Glinda Welch Sossaman, PTA

  • Specialist
  • Memphis, TN
National Provider Identifier
1356555403
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PTA0000000301 Issued in TN
Practice address
54 S Prescott St
Memphis, TN 38111-4619
Phone
(901) 257-3422
Fax
(901) 257-3423
NPI assigned
May 9, 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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X PTA0000000301 TN Primary

Addresses

Primary practice location

54 S Prescott St
Memphis, TN 38111-4619

Mailing address

3947 Light House LN
Lakeland, TN 38002-8165
Phone (901) 257-3422

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
PTA0000000301TNMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Momentum Physical Rehabilitation, LLC 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": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356555403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3947 LIGHT HOUSE LN",
            "city": "LAKELAND",
            "state": "TN",
            "postal_code": "380028165",
            "telephone_number": "901-257-3422",
            "fax_number": "901-257-3423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 S PRESCOTT ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381114619",
            "telephone_number": "901-257-3422",
            "fax_number": "901-257-3423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOSSAMAN",
        "first_name": "GLINDA",
        "middle_name": "WELCH",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "PTA0000000301",
            "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 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.