Organization Active NPI

Physioone Physical Therapy, PLLC

  • Physical Therapist
  • Cordova, TN
National Provider Identifier
1811515778
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PHYSIOONE PHYSICAL THERAPY, PLLC
Practice address
1204 N Houston Levee Rd Ste 106
Cordova, TN 38018-6687
Phone
(901) 410-8487
NPI assigned
Jul 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2020

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

Authorized official

Name
Gary Clouse, DPT
Title
Owner
Phone
(318) 639-7646

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1204 N Houston Levee Rd Ste 106
Cordova, TN 38018-6687

Mailing address

1204 N Houston Levee Rd Ste 106
Cordova, TN 38018-6687
Phone (901) 410-8487

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594166400000",
    "number": "1811515778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 N HOUSTON LEVEE RD STE 106",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380186687",
            "telephone_number": "901-410-8487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 N HOUSTON LEVEE RD STE 106",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380186687",
            "telephone_number": "901-410-8487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIOONE PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-08",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A",
        "authorized_official_last_name": "CLOUSE",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-639-7646",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; 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.