Active NPI
Neuro Rehab of the Mid-South
- Occupational Therapist
- Memphis, TN
National Provider Identifier
1760198949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Legal business name
- NEURO REHAB OF THE MID-SOUTH
- Practice address
- 5810 Shelby Oaks Dr Ste B
Memphis, TN 38134-7315 - Phone
- (870) 565-6139
- NPI assigned
- Jan 30, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cassie Hanson, OTD, OTR/L
- Title
- Occupational Therapist, Owner
- Phone
- (870) 565-6139
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Occupational Therapist | 225X00000X | Primary | ||
| Speech-Language Pathologist | 235Z00000X |
Addresses
Primary practice location
5810 Shelby Oaks Dr Ste B
Memphis, TN 38134-7315
Mailing address
10477 Low Bridge Rd
Olive Branch, MS 38654-5584
Phone (870) 565-6139
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Bartlett, TN
- NPI 1689103905
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675036800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675036800000",
"number": "1760198949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10477 LOW BRIDGE RD",
"city": "OLIVE BRANCH",
"state": "MS",
"postal_code": "386545584",
"telephone_number": "870-565-6139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5810 SHELBY OAKS DR STE B",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381347315",
"telephone_number": "870-565-6139"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEURO REHAB OF THE MID-SOUTH",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-30",
"last_updated": "2023-01-30",
"certification_date": "2023-01-30",
"status": "A",
"authorized_official_last_name": "HANSON",
"authorized_official_first_name": "CASSIE",
"authorized_official_title_or_position": "OCCUPATIONAL THERAPIST, OWNER",
"authorized_official_telephone_number": "870-565-6139",
"authorized_official_credential": "OTD, OTR/L"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.