Adam Brooks Risinger, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT5427 Issued in TN

Practice address

3964 Goodman Rd E
Suite 111
Southaven, MS 38672-8761

Phone

(662) 890-6953

Fax

(662) 890-6954

NPI assigned

May 24, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• MSK Group PC

  • Orthopaedic Surgery Physician
  • Southaven, MS
  • NPI 1912303447

  Physical Therapist

  NPD (past)
• MSK Group, PC

  • Physical Therapist
  • Southaven, MS
  • NPI 1114793189
  NPD (past)
• MSK Group, PC

  • Orthopaedic Surgery Physician
  • Memphis, TN
  • NPI 1376541409

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413936000000",
    "number": "1508869462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 MALLORY LN",
            "address_2": "SUITE 201",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370678233",
            "telephone_number": "615-373-9461",
            "fax_number": "615-221-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3964 GOODMAN RD E",
            "address_2": "SUITE 111",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386728761",
            "telephone_number": "662-890-6953",
            "fax_number": "662-890-6954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISINGER",
        "first_name": "ADAM",
        "middle_name": "BROOKS",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2014-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT5427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "620819926",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "620819926",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00266256",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4041683",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO",
            "identifier": "0723280001",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Rebecca Richardson, D.O.
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• Susan Diane Riles, R.PH.
• Rippee Rehab, LLC
• Brett Allen Rivers, PT
• Philip Rixey, LMSW
• Kattrina Roach, PHD
• Roberts & Garza Orthodontics Services PLLC
• Lashunda Thompson Roberts, DMD

• Physical Therapist in Southaven, MS
• Providers in Southaven, MS by specialty
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; 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.