Specialty Rehabilitation Group Inc

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1807 Issued in TN

Legal business name

SPECIALTY REHABILITATION GROUP INC

Practice address

10076 Sutton Ridge LN
Cordova, TN 38016-0685

Phone

(901) 219-8505

Fax

(901) 202-0336

NPI assigned

Jan 30, 2009

Last updated

Jan 30, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Raju PratapNPI 1184831976

Title

Coordinator

Phone

(901) 219-8505

Specialties & licenses 4

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Raju Pratap

  • Speech-Language Pathologist
  • Sugar Land, TX
  • NPI 1184831976

  Audiologist

  NPD (past) Authorized official

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

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233273600000",
    "number": "1841438736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10076 SUTTON RIDGE LN",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380160685",
            "telephone_number": "901-219-8505",
            "fax_number": "901-202-0336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10076 SUTTON RIDGE LN",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380160685",
            "telephone_number": "901-219-8505",
            "fax_number": "901-202-0336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY REHABILITATION GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-30",
        "last_updated": "2009-01-30",
        "status": "A",
        "authorized_official_last_name": "PRATAP",
        "authorized_official_first_name": "RAJU",
        "authorized_official_title_or_position": "COORDINATOR",
        "authorized_official_telephone_number": "901-219-8505",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "0000002224",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "0000001006",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TN",
            "license": "1506",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "1807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Sowdon
• Ann Baker Sparks, DDS
• Charlene Kelley Sparrow, PMHNP-BC
• Santana Spearman
• Spears Prosthetics and Orthotics
• Spectrum Pain Clinics Inc.
• Spectrum Pain Clinics Inc.
• Speech Imaging LLC
• Katherine Olivia Spencer
• Mya Spencer, RBT

• Speech-Language Pathologist in Cordova, TN
• Providers in Cordova, TN by specialty
• Speech-Language Pathologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; 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.