Organization Active NPI

University of Tennessee

Doing business as University Therapists

  • Physical Therapist
  • Memphis, TN
National Provider Identifier
1386735298
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
UNIVERSITY OF TENNESSEE
Doing business as
University Therapists
Practice address
930 Madison Ave
Suite Ec013
Memphis, TN 38163-2243
Phone
(901) 448-6438
Fax
(901) 448-1411
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

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

Authorized official

Name
Dr. Carol Counts Likens, PT, PHD, MBA
Title
Associate Professor and Chairman
Phone
(901) 448-5047

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

930 Madison Ave
Suite Ec013
Memphis, TN 38163-2243

Mailing address

920 Madison Ave
Suite 415
Memphis, TN 38163-2243
Phone (901) 448-6438

Other identifiers 2

IdentifierTypeStateIssuer
3133295OtherTNBC/BS PROVIDER NUMBER
0446645MedicaidTN

Other names 1

  • University Therapists Doing business as

National Provider Directory

National Provider Directory

Locations

920 Madison Ave
Ste 415
Memphis, TN 38103
Phone (901) 448-5888

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480464000000",
    "number": "1386735298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 MADISON AVE",
            "address_2": "SUITE 415",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381632243",
            "telephone_number": "901-448-6438",
            "fax_number": "901-448-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 MADISON AVE",
            "address_2": "SUITE EC013",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381632243",
            "telephone_number": "901-448-6438",
            "fax_number": "901-448-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF TENNESSEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2016-11-30",
        "status": "A",
        "authorized_official_last_name": "LIKENS",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "COUNTS",
        "authorized_official_title_or_position": "ASSOCIATE PROFESSOR AND CHAIRMAN",
        "authorized_official_telephone_number": "901-448-5047",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, PHD, MBA"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER NUMBER",
            "identifier": "3133295",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0446645",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Therapists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 30, 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.