Tanya McFadden, PT
Individual provider Active NPI Orthopedic Physical Therapist · Southaven, MS
NPI 1477960490 · NPPES record last updated Jul 22, 2014
Key facts
- NPI
- 1477960490
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopedic Physical Therapist 2251X0800X
- License
- 3846 (MS)
- Practice address
- 7545 Airways Blvd
Southaven, MS 38671-5806 - Phone
- (901) 759-3208
- NPI assigned
- Jul 22, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 24
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Campbell Clinic, PC
Practice addresses (Care Compare)
7545 Airways Blvd
Southaven, MS 38671-5806
Phone (901) 759-3196
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.09 of 100
- Quality
- 50.47
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 67.33
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150220000789 | MS | Practitioner - Physical Therapist in Private Practice | 8123077203 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6102 | TN | MD | Clinical Social Worker |
| 3846 | MS | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CC Bpci PLC | Past | Accepting new patients |
Interoperability endpoints
- tanya.mcfadden.1@1366.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 3846 | MS | Yes |
| Orthopedic Physical Therapist | 2251X0800X | 6102 | TN |
Addresses
Primary practice location
7545 Airways Blvd
Southaven, MS 38671-5806
Mailing address
7545 Airways Blvd
Southaven, MS 38671-5806
Phone (901) 759-3208
NPI Registry JSON
{
"created_epoch": "1405987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405987200000",
"number": "1477960490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7545 AIRWAYS BLVD",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386715806",
"telephone_number": "901-759-3208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7545 AIRWAYS BLVD",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386715806",
"telephone_number": "901-759-3208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCFADDEN",
"first_name": "TANYA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-22",
"last_updated": "2014-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "MS",
"license": "3846",
"primary": true
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "TN",
"license": "6102",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southaven, MS
- Angela D. McCoy
- Susan Elyse McCullough
- Christopher Michael McDaniel
- Henon Lee McDonald Jr.
- Jay Paul McDonald II
- Jessica McGarrity
- Trevor McGee
- Casey B McGhee
- Karolyn McGhee
- Katelyn McGrath
All providers in Southaven, MS · Orthopedic Physical Therapist in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.