Individual provider Active NPI

Catherine McGill Shirley, PT, DPT

  • Physical Therapist
  • Memphis, TN
National Provider Identifier
1528307592
Registry record updated Apr 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9226 Issued in TN
Practice address
600 Jefferson Ave RM 323
Memphis, TN 38105-4934
Phone
(901) 287-4900
NPI assigned
Feb 11, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 9226 TN
Pediatric Physical Therapist 2251P0200X 9226 TN
Physical Therapist 225100000X 9226 TN Primary

Addresses

Primary practice location

600 Jefferson Ave RM 323
Memphis, TN 38105-4934

Mailing address

530 Tipton Rd
Munford, TN 38058-4795
Phone (901) 359-6292

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
9226TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamix Physical Therapy LLC CurrentSince Feb 1, 2013 Accepting new patients
Kerry D. Friesen, M.D. PC Past Accepting new patients

Locations

5 N Lafayette Ave
Brownsville, TN 38012
Phone (731) 613-2214

6070 S 1st St
Milan, TN 38358
Phone (731) 613-2214

6070 S 1st St
Ste D
Milan, TN 38358
Phone (731) 613-2214

126 Davy Crockett Mall
Trenton, TN 38382
Phone (731) 613-2214

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1360540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586736000000",
    "number": "1528307592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 TIPTON RD",
            "city": "MUNFORD",
            "state": "TN",
            "postal_code": "380584795",
            "telephone_number": "901-359-6292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 JEFFERSON AVE RM 323",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381054934",
            "telephone_number": "901-287-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRLEY",
        "first_name": "CATHERINE",
        "middle_name": "MCGILL",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-11",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TN",
            "license": "9226",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "TN",
            "license": "9226",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "9226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; 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.