VA Medical Center

Primary specialty

Recreation TherapistTaxonomy code 225800000X

Legal business name

VA MEDICAL CENTER

Practice address

1030 Jefferson Ave
(117RT)
Memphis, TN 38104-2127

Phone

(901) 523-8990

NPI assigned

Jun 3, 2006

Organization subpart

No

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

Authorized official

Name

Melissa Cook

Title

Recreation Therapist

Phone

(901) 523-8990

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189123200000",
    "number": "1760420426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1153 GREENVIEW RD",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380176884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 JEFFERSON AVE",
            "address_2": "(117RT)",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381042127",
            "telephone_number": "901-523-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2007-09-07",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "RECREATION THERAPIST",
        "authorized_official_telephone_number": "901-523-8990"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Recreation Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Utmg
• Utmg Dermatopathology, LLC
• Utmg Pathology, LLC
• Utoepia Foot and Ankle, PLLC
• V&S Wellness & Solutions Inc.
• VA Medical Center Memphis Pharmacy
• Neena Vachaspati
• Aruna K Vaddadi, MD
• Lalitha Vaddadi, M.D
• Prethi Vaddadi, M.D.

• Recreation Therapist in Memphis, TN
• Providers in Memphis, TN by specialty
• Recreation Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; 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.