NPIMap

Organization Active NPI

Kirby Physiotherapy

  • Physical Therapy Clinic/Center
  • Memphis, TN
National Provider Identifier
1881968311
Registry record updated Mar 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
2094 Issued in TN
Legal business name
KIRBY PHYSIOTHERAPY
Practice address
3558 Kirby Pkwy
Memphis, TN 38115-4243
Phone
(901) 566-1203
Fax
(901) 566-1206
NPI assigned
Mar 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2012

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

Authorized official

Name
Dr. Jared Hathaway
Title
Doctor
Phone
(901) 566-1203

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 2094 TN Primary

Addresses

Primary practice location

3558 Kirby Pkwy
Memphis, TN 38115-4243

Mailing address

3558 Kirby Pkwy
Memphis, TN 38115-4243
Phone (901) 566-1203

National Provider Directory

National Provider Directory

Locations

3558 Kirby Pkwy
Memphis, TN 38115
Phone (901) 566-1203

Practitioners & affiliated clinicians

Practitioners 3

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": "1330560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330560000000",
    "number": "1881968311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3558 KIRBY PKWY",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381154243",
            "telephone_number": "901-566-1203",
            "fax_number": "901-566-1206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3558 KIRBY PKWY",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381154243",
            "telephone_number": "901-566-1203",
            "fax_number": "901-566-1206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRBY PHYSIOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-01",
        "last_updated": "2012-03-01",
        "status": "A",
        "authorized_official_last_name": "HATHAWAY",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "901-566-1203",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TN",
            "license": "2094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; 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.