Active NPI
Christy Ann Sorrell, PT
- Physical Therapist
- Jackson, TN
National Provider Identifier
1376589614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7107
- Practice address
- 85 Stonebrook PL
Jackson, TN 38305-3653 - Phone
- (731) 664-7060
- Fax
- (731) 664-5005
- NPI assigned
- Jun 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 7107 | TN | Primary |
Addresses
Primary practice location
85 Stonebrook PL
Jackson, TN 38305-3653
Mailing address
1804 Highway 45 Byp
Suite 604
Jackson, TN 38305-4436
Phone (731) 660-8759
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111010000333 | TN | Practitioner - Physical Therapist in Private Practice | 1355513631 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7107 | TN | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Redden Total Therapy, LLC | Current | Accepting new patients |
Locations
28 Nolan Cv
Ste A
Jackson, TN 38305
Phone (731) 512-0302
1000 Greystone Sq
Jackson, TN 38305
Phone (731) 512-0302
Organizations & group practices 2
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": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247788800000",
"number": "1376589614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1804 HIGHWAY 45 BYP",
"address_2": "SUITE 604",
"city": "JACKSON",
"state": "TN",
"postal_code": "383054436",
"telephone_number": "731-660-8759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 STONEBROOK PL",
"city": "JACKSON",
"state": "TN",
"postal_code": "383053653",
"telephone_number": "731-664-7060",
"fax_number": "731-664-5005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SORRELL",
"first_name": "CHRISTY",
"middle_name": "ANN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-22",
"last_updated": "2009-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "7107",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.