James Anthony, ORTHOTIST
Individual provider Active NPI Specialist · Memphis, TN
NPI 1508949405 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1508949405
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- Practice address
- 5019 Boeingshire Dr
Memphis, TN 38116-8603 - Phone
- (901) 523-8990
- NPI assigned
- Oct 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Yes |
Addresses
Primary practice location
5019 Boeingshire Dr
Memphis, TN 38116-8603
Mailing address
5019 Boeingshire Dr
Memphis, TN 38116-8603
Phone (901) 523-8990
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.