Individual provider Active NPI

Thomas Russell Middleton, PT, DPT

  • Physical Therapist
  • Arlington, TN
National Provider Identifier
1376994558
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10815 Issued in TN
Practice address
6050 Airline Rd Ste 106
Arlington, TN 38002-4894
Phone
(901) 867-8989
Fax
(901) 867-8757
NPI assigned
Jun 28, 2016
Last updated
Sep 7, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 10815 TN
Physical Therapist 225100000X 10815 TN Primary

Addresses

Primary practice location

6050 Airline Rd Ste 106
Arlington, TN 38002-4894

Mailing address

6050 Airline Rd Ste 106
Arlington, TN 38002-4894
Phone (901) 867-8989

Other practice location 1

871 Ridgeway Loop Rd Ste 100
Memphis, TN 38120-4026
Phone (901) 759-1282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250416000756 TN Practitioner - Physical Therapist in Private Practice 4688199268 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab, Etc., Inc. Physical Therapist CurrentSince Nov 1, 2021 Accepting new patients
Leader Physical Therapy Limited Partnership Physical Therapist CurrentSince Sep 19, 2022 Accepting new patients
Leader Physical Therapy Limited Partnership Physical Therapist CurrentSince Sep 19, 2022 Accepting new patients

Locations

6050 Airline Rd
Ste 106
Arlington, TN 38002
Phone (901) 867-8989

1204 N Houston Levee Rd
Ste 106
Cordova, TN 38018
Phone (901) 410-8487

2961 Canada Rd
Ste 107
Lakeland, TN 38002
Phone (901) 866-9239

1789 Kirby Pkwy
Ste 3
Memphis, TN 38138
Phone (901) 759-1282

5039 Park Ave
Ste 102
Memphis, TN 38117
Phone (901) 818-9746

871 Ridgeway Loop Rd
Ste 100
Memphis, TN 38120
Phone (901) 221-9221

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1376994558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6050 AIRLINE RD STE 106",
            "city": "ARLINGTON",
            "state": "TN",
            "postal_code": "380024894",
            "telephone_number": "901-867-8989",
            "fax_number": "901-867-8757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6050 AIRLINE RD STE 106",
            "city": "ARLINGTON",
            "state": "TN",
            "postal_code": "380024894",
            "telephone_number": "901-867-8989",
            "fax_number": "901-867-8757"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "871 Ridgeway Loop Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381204026",
            "country_code": "US",
            "telephone_number": "901-759-1282",
            "fax_number": "901-759-1290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIDDLETON",
        "first_name": "THOMAS",
        "middle_name": "RUSSELL",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-28",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TN",
            "license": "10815",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "10815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.

Verify at the official NPI Registry.