Zachary Tulley, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT12188 Issued in TN

Practice address

7501 Goodman Rd Ste I
Olive Branch, MS 38654-1952

Phone

(901) 383-4515

Fax

(901) 373-4515

NPI assigned

Apr 2, 2019

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 2

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1853/brand/1/csg/1/fhir/r4

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.

• Orthonow, PLLC

  • Orthopaedic Surgery Physician
  • Memphis, TN
  • NPI 1518117043

  TN

  Medicare reassignment NPD
• Physiotherapy Associates Inc

  • Physical Therapy Clinic/Center
  • Germantown, TN
  • NPI 1154498632

  Physical Therapist, TN

  Medicare reassignment NPD
• Pinnacle Physical Therapy

  • Physical Therapy Clinic/Center
  • Memphis, TN
  • NPI 1386430866

  Physical Therapist, TN

  Medicare reassignment NPD
• Physiotherapy Associates Inc

  • Physical Therapy Clinic/Center
  • Loudon, TN
  • NPI 1093753097
  NPD
• Physiotherapy Associates Inc

  • Physical Therapy Clinic/Center
  • Estero, FL
  • NPI 1720039902
  NPD

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1578025334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8059 STAGE HILLS BLVD STE 104",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381334071",
            "telephone_number": "901-383-4515",
            "fax_number": "901-373-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 GOODMAN RD STE I",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386541952",
            "telephone_number": "901-383-4515",
            "fax_number": "901-373-4515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TULLEY",
        "first_name": "ZACHARY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-02",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT12188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "PT6865",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "PT12188",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Tisdell, FNP
• Top Notch Transportation LLC
• Tritia Margalizita Townsend, PHARMD
• Linda Diane Trent, FNP
• True Alliance Home Healthcare, LLC
• Leon C Turner, NP
• Taderia J Twillie
• Twinkle Talk Therapy, LLC
• John C Tyner, RPH
• Uhs of Parkwood Inc

• All providers in Olive Branch, MS
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.