Individual provider Active NPI

Josephine Ledda Igharas, PT

  • Physical Therapist
  • Bartlett, TN
National Provider Identifier
1790716728
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3163 Issued in TN
Practice address
2986 Kate Bond Rd
Bartlett, TN 38133-4003
Phone
(901) 820-7430
Fax
(901) 820-7431
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3163 TN Primary

Addresses

Primary practice location

2986 Kate Bond Rd
Bartlett, TN 38133-4003

Mailing address

4140 Calla Dr
Bartlett, TN 38135-8102
Phone (901) 380-5668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061211000608 TN Practitioner - Physical Therapist in Private Practice 1052310562 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hamad Ahmad MD PCGroup PAC ID 0749553816, 14 clinicians

Practice addresses (Care Compare)

4772 Navy Rd
Suite a
Millington, TN 38053-1927
Phone (901) 873-0930

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3163TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hamad Ahmad MD PC CurrentSince Sep 1, 2019 Accepting new patients
Hamad Ahmad MD PC CurrentSince Sep 1, 2019 Accepting new patients
MSK Group PC Physical Therapist Past Accepting new patients
MSK Group, PC Physical Therapist Past Accepting new patients
MSK Group, PC Physical Therapist PastSince Jun 1, 2004 Accepting new patients
Memphis Orthopaedic Group PC Past Accepting new patients

Locations

4772 Navy Rd
Ste A
Millington, TN 38053
Phone (901) 873-0570

Interoperability endpoints

  • Direct secure messaging: josephine.igharas.1@1366.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1790716728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 CALLA DR",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381358102",
            "telephone_number": "901-380-5668",
            "fax_number": "901-820-7431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2986 KATE BOND RD",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381334003",
            "telephone_number": "901-820-7430",
            "fax_number": "901-820-7431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGHARAS",
        "first_name": "JOSEPHINE",
        "middle_name": "LEDDA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "3163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.