Bartlett Neurorehab Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

8816 Issued in TN

Legal business name

BARTLETT NEUROREHAB PHYSICAL THERAPY

Practice address

7895 Stage Hills Blvd
Suite 107
Bartlett, TN 38133-4049

Phone

(901) 359-2569

NPI assigned

Nov 29, 2016

Last updated

Mar 18, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jonathan Henderson, PTNPI 1689103905

Title

Physical Therapist

Phone

(901) 359-2569

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jonathan Henderson, PT

  • Physical Therapist
  • Bartlett, TN
  • NPI 1689103905
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616025600000",
    "number": "1548703283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7895 STAGE HILLS BLVD",
            "address_2": "SUITE 107",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381334049",
            "telephone_number": "901-590-2379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7895 STAGE HILLS BLVD",
            "address_2": "SUITE 107",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381334049",
            "telephone_number": "901-359-2569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARTLETT NEUROREHAB PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-29",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "901-359-2569",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "8816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bartlett Dental Associates PLC
• Bartlett Dental Clinic II LLC
• Bartlett Family Dentistry
• Bartlett Internal Medicine Group PC
• Bartlett Medical Supply
• Bartlett Operations, LLC (Elmcroft of Bartlett)
• Bartlett Operator, LLC (Rainbow Rehab & Healthcare)
• Bartlett Pediatric Dentistry
• Bartlett Prescription Shop
• Bartlett- Raleigh Internal Medicine Group, P. C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.