NPIMap

Organization Active NPI

Capabilities for Living, LLC

  • Physical Therapy Clinic/Center
  • Cordova, TN
National Provider Identifier
1912119199
Registry record updated Jul 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
OT0000000002 Issued in TN
Legal business name
CAPABILITIES FOR LIVING, LLC
Practice address
748 Walnut Knoll LN
Suite 1
Cordova, TN 38018-3110
Phone
(901) 507-4780
Fax
(901) 507-4786
NPI assigned
May 3, 2007
Last updated
Jul 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2011

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

Authorized official

Name
Mr. Hector C. Torres, BS,IT
Title
Owner, President
Phone
(901) 507-4780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X OT0000000002 TN Primary

Addresses

Primary practice location

748 Walnut Knoll LN
Suite 1
Cordova, TN 38018-3110

Mailing address

748 Walnut Knoll LN
Suite 1
Cordova, TN 38018-3110
Phone (901) 507-4780

Other identifiers 3

IdentifierTypeStateIssuer
4075307OtherTNBCBS CLINIC ID
36555MedicaidTN
4075308OtherTNSANDY FLETCHALL BCBS ID

National Provider Directory

National Provider Directory

Locations

748 Walnut Knoll Ln
Ste 1
Cordova, TN 38018
Phone (901) 507-4780

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310428800000",
    "number": "1912119199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "748 WALNUT KNOLL LN",
            "address_2": "SUITE 1",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380183110",
            "telephone_number": "901-507-4780",
            "fax_number": "901-507-4786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "748 WALNUT KNOLL LN",
            "address_2": "SUITE 1",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380183110",
            "telephone_number": "901-507-4780",
            "fax_number": "901-507-4786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPABILITIES FOR LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2011-07-12",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "901-507-4780",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BS,IT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TN",
            "license": "OT0000000002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS CLINIC ID",
            "identifier": "4075307",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36555",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SANDY FLETCHALL BCBS ID",
            "identifier": "4075308",
            "state": "TN"
        }
    ],
    "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 12, 2011; 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.