NPIMap

Organization Active NPI

Midsouth Orthopaedic Rehabilitation

  • Specialist
  • Germantown, TN
National Provider Identifier
1386835940
Registry record updated Jun 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MIDSOUTH ORTHOPAEDIC REHABILITATION
Practice address
7730 Wolf River Blvd
Suite 109
Germantown, TN 38138-1708
Phone
(901) 522-6671
Fax
(901) 522-6715
NPI assigned
Aug 7, 2007
Last updated
Jun 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2008

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

Authorized official

Name
Jason D Ward, PTNPI 1346243037
Title
Partner
Phone
(901) 522-6671

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

7730 Wolf River Blvd
Suite 109
Germantown, TN 38138-1708

Mailing address

7730 Wolf River Blvd
Suite 109
Germantown, TN 38138-1708
Phone (901) 522-6671

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080207000143 TN Part B Supplier - Clinic/Group Practice 2264515790 Receives reassigned benefits from 17 practitioners
Practice locations: Collierville, TN; Cordova, TN

National Provider Directory

National Provider Directory

Locations

364 New Byhalia Rd
Ste 1
Collierville, TN 38017
Phone (901) 221-8621

7730 Wolf River Blvd
Ste 109
Germantown, TN 38138
Phone (901) 522-6671

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212710400000",
    "number": "1386835940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7730 WOLF RIVER BLVD",
            "address_2": "SUITE 109",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381708",
            "telephone_number": "901-522-6671",
            "fax_number": "901-522-6715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7730 WOLF RIVER BLVD",
            "address_2": "SUITE 109",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381708",
            "telephone_number": "901-522-6671",
            "fax_number": "901-522-6715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDSOUTH ORTHOPAEDIC REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2008-06-06",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "901-522-6671",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; 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.