Organization Active NPI

Med Clinic of Memphis

  • Physical Medicine & Rehabilitation Physician
  • Memphis, TN
National Provider Identifier
1366979668
Registry record updated May 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
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

Updated by the provider on May 17, 2017

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)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.