Kevin Cody Tubbs, MS, ATC, LAT

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

AT0000001799 Issued in TN

Practice address

6286 Briarcrest Ave
Memphis, TN 38120-4023

Phone

(901) 305-4021

NPI assigned

Dec 23, 2016

Last updated

Dec 23, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1482451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482451200000",
    "number": "1356886550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 BURTON LN",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386716975",
            "telephone_number": "901-488-2286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6286 BRIARCREST AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381204023",
            "telephone_number": "901-305-4021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUBBS",
        "first_name": "KEVIN",
        "middle_name": "CODY",
        "credential": "MS, ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-23",
        "last_updated": "2016-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "TN",
            "license": "AT0000001799",
            "primary": true
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "MS",
            "license": "AT0637",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra J. Tsiu, PHARMD
• Willie Tsiu, MD
• Karen Tsui, M.D.
• Toni H Tubb, MD
• Hannah Tubbs
• Leah Tubbs
• Rodney Allan Tubbs, D.PH.
• Deborah H Tuberville, FNP-BC
• Oran Berchman Tubre, CRNA
• Maria Tucci Jones

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2016; 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.