Active NPI
Barbara Diane Royal, PTA
- Physical Therapy Assistant
- Memphis, TN
National Provider Identifier
1407043359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 368
- Practice address
- 5070 Sanderlin Ave
Memphis, TN 38117-4332 - Phone
- (901) 683-5677
- NPI assigned
- Sep 25, 2007
- Last updated
- Sep 25, 2007
- 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 Therapy Assistant | 225200000X | 368 | TN | Primary |
Addresses
Primary practice location
5070 Sanderlin Ave
Memphis, TN 38117-4332
Mailing address
7591 Easterly LN
Memphis, TN 38125-4316
Phone (901) 759-1440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 368 | TN | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190678400000",
"number": "1407043359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7591 EASTERLY LN",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381254316",
"telephone_number": "901-759-1440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5070 SANDERLIN AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381174332",
"telephone_number": "901-683-5677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROYAL",
"first_name": "BARBARA",
"middle_name": "DIANE",
"name_prefix": "Ms.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-25",
"last_updated": "2007-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TN",
"license": "368",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
- Roy C. Page
- Karen Roy, LCSW
- Royal Haven Mobility Solutions LLC
- Royal Transportation Service
- Caroline A. Royal-Evans, M.S., CCC, BC-ANCDS
- Latoya Latrece Royal, FNP
- Royalty Transportation, LLC
- Royaque Enterprises LLC Dba Que's to Caring Services (Que's to Caring Services)
- RS Medical Services LTD (A Plus MEDICAL URGENT CARE CLINIC / AFFORDABLE HEALTHCARE SERVICES)
- RSK Enterprises LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.