Organization Active NPI

Unique Potential Network, Inc.

  • Physical Therapist
  • Cordova, TN
National Provider Identifier
1881826352
Registry record updated Mar 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4188 Issued in TN
Legal business name
UNIQUE POTENTIAL NETWORK, INC.
Practice address
2075 N Germantown Pkwy
Suite108
Cordova, TN 38016-1729
Phone
(901) 246-6809
Fax
(901) 202-9088
NPI assigned
Aug 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2014

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

Authorized official

Name
Mr. Raghunath Vedala, MSCCCSLPNPI 1316177421
Title
Cfo
Phone
(901) 246-6809

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 4188 TN Primary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X 10327 TN
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 2012 TN

Addresses

Primary practice location

2075 N Germantown Pkwy
Suite108
Cordova, TN 38016-1729

Mailing address

8910 Roby CV
Cordova, TN 38016-4092
Phone (901) 246-6809

Other names 1

  • MFR YOGA Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101109001178 TN Part B Supplier - Clinic/Group Practice 6002001641 Receives reassigned benefits from 1 practitioner
Practice locations: Cordova, TN

National Provider Directory

National Provider Directory

Locations

2075 N Germantown Pkwy
Ste 108
Cordova, TN 38016
Phone (901) 246-6809

515 N Highland St
Memphis, TN 38122
Phone (901) 244-7599

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395100800000",
    "number": "1881826352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8910 ROBY CV",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380164092",
            "telephone_number": "901-246-6809",
            "fax_number": "901-202-9088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 N GERMANTOWN PKWY",
            "address_2": "SUITE108",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380161729",
            "telephone_number": "901-246-6809",
            "fax_number": "901-202-9088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIQUE POTENTIAL NETWORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-18",
        "last_updated": "2014-03-18",
        "status": "A",
        "authorized_official_last_name": "VEDALA",
        "authorized_official_first_name": "RAGHUNATH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "901-246-6809",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSCCCSLP"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "4188",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "TN",
            "license": "10327",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "2012",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MFR YOGA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Mar 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.