Active NPI
Med Clinic of Memphis
- Physical Medicine & Rehabilitation Physician
- Memphis, TN
National Provider Identifier
1366979668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- MED CLINIC OF MEMPHIS
- Practice address
- 5084 Old Summer Rd Ste a
Memphis, TN 38122-4403 - Phone
- (901) 531-8264
- NPI assigned
- May 17, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Emma Cull
- Title
- Coo
- Phone
- (678) 469-5011
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary |
Addresses
Primary practice location
5084 Old Summer Rd Ste a
Memphis, TN 38122-4403
Mailing address
5821 Southwest Fwy Ste 550
Houston, TX 77057-7531
Phone (901) 708-2211
National Provider Directory
National Provider DirectoryLocations
5084 Old Summer Rd
Ste A
Memphis, TN 38122
Phone (901) 531-8264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494979200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1494979200000",
"number": "1366979668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5821 SOUTHWEST FWY STE 550",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770577531",
"telephone_number": "901-708-2211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5084 OLD SUMMER RD STE A",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381224403",
"telephone_number": "901-531-8264"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MED CLINIC OF MEMPHIS",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-17",
"last_updated": "2017-05-17",
"status": "A",
"authorized_official_last_name": "CULL",
"authorized_official_first_name": "EMMA",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "678-469-5011"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"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 May 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.