Active NPI
Stacy Rachelle Pritchard, PT
- Pediatric Physical Therapist
- Germantown, TN
National Provider Identifier
1710142542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 8141
- Practice address
- 7691 Poplar Ave
Germantown, TN 38138-3904 - Phone
- (901) 516-6925
- Fax
- (901) 516-6757
- NPI assigned
- Jul 21, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT4432 | MS | |
| Pediatric Physical Therapist | 2251P0200X | 8141 | TN | Primary |
| Orthopedic Physical Therapist | 2251X0800X | 8141 | TN |
Addresses
Primary practice location
7691 Poplar Ave
Germantown, TN 38138-3904
Mailing address
7691 Poplar Ave
Germantown, TN 38138-3904
Phone (901) 516-6925
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT4432 | MS | MD | Physical Therapist |
| 8141 | TN | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228089600000",
"number": "1710142542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7691 POPLAR AVE",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381383904",
"telephone_number": "901-516-6925",
"fax_number": "901-516-6757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7691 POPLAR AVE",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381383904",
"telephone_number": "901-516-6925",
"fax_number": "901-516-6757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRITCHARD",
"first_name": "STACY",
"middle_name": "RACHELLE",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-21",
"last_updated": "2008-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MS",
"license": "PT4432",
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "TN",
"license": "8141",
"primary": true
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "TN",
"license": "8141",
"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 Dec 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.