Individual provider Active NPI

Mori (Mildred) Giovannetti Welborn, L.M.T., P.T.A.

  • Physical Therapy Assistant
  • Germantown, TN
National Provider Identifier
1598886988
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
0000003273 Issued in TN
Practice address
9947 Wolf River Blvd Ste 105
Germantown, TN 38139-5559
Phone
(901) 570-0870
NPI assigned
Apr 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 0000003273 TN Primary
Massage Therapist 225700000X 0000005568 TN

Addresses

Primary practice location

9947 Wolf River Blvd Ste 105
Germantown, TN 38139-5559

Mailing address

115 Cotton Ridge CV S
Cordova, TN 38018-7409

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0000003273TNMDPhysical Therapy Assistant
0000005568TNMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1598886988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 COTTON RIDGE CV S",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380187409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9947 WOLF RIVER BLVD STE 105",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381395559",
            "telephone_number": "901-570-0870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELBORN",
        "first_name": "MORI (MILDRED)",
        "middle_name": "GIOVANNETTI",
        "name_prefix": "Mrs.",
        "credential": "L.M.T., P.T.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "0000003273",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TN",
            "license": "0000005568",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.