Mobile Therapeutic Services, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

5975 Issued in TN

Legal business name

MOBILE THERAPEUTIC SERVICES, LLC

Practice address

5558 Liberty Ridge CV
Memphis, TN 38125-4262

Phone

(901) 292-3294

Fax

(901) 756-6838

NPI assigned

Jan 5, 2010

Organization subpart

No

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

Authorized official

Name

Tamera Harrison, MS, PT

Title

Owner/Physical Therapist

Phone

(901) 292-3294

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1262649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262649600000",
    "number": "1629308127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5558 LIBERTY RIDGE CV",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381254262",
            "telephone_number": "901-292-3294",
            "fax_number": "901-756-6838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5558 LIBERTY RIDGE CV",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381254262",
            "telephone_number": "901-292-3294",
            "fax_number": "901-756-6838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE THERAPEUTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-05",
        "last_updated": "2010-01-05",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "TAMERA",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "901-292-3294",
        "authorized_official_credential": "MS, PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TN",
            "license": "5975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Memphis, TN
• Providers in Memphis, TN by specialty
• Physical Therapy Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2010; 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.