Mirian Alejandra Flores Quezada

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

15975 Issued in TN

Practice address

461 Pond Apple Rd
Clarksville, TN 37043-2208

Phone

(931) 920-4333

NPI assigned

Aug 28, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• High Pointe Rehab LLC

  • Physical Therapy Clinic/Center
  • Clarksville, TN
  • NPI 1912097239
  NPD

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

{
    "created_epoch": "1724803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1407680705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 SITKA ST",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370401462",
            "telephone_number": "931-494-0476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 POND APPLE RD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370432208",
            "telephone_number": "931-920-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES QUEZADA",
        "first_name": "MIRIAN ALEJANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-28",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "15975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Fletcher, LCSW
• Morgan Fletcher, CCC-SLP
• Sherryle Denise Fletcher, BA
• Savannah Fleury
• Michelle Colleen Flora, DNP
• Mercyvette Flores Saez
• Florida Autism Center
• Flourishing Life Holistic Healthcare, LLC
• Faith Floyd
• Brittney Fly

• Physical Therapist in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.