Jeremy H Pittman, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5704 Issued in TN

Practice address

622 W Poplar Ave
Suite 5
Collierville, TN 38017-6503

Phone

(901) 850-5426

Fax

(901) 850-5226

NPI assigned

Mar 18, 2006

Last updated

Dec 11, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TN, MS2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pittman Physical Therapy LLCGroup PAC ID 5991804031, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pittman Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Collierville, TN
  • NPI 1790987592

  MS, Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Napoli Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Hernando, MS
  • NPI 1750613469
  NPD (past)

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

{
    "created_epoch": "1142640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449792000000",
    "number": "1912966060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 W POPLAR AVE",
            "address_2": "SUITE 5",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380176503",
            "telephone_number": "901-850-5246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 W POPLAR AVE",
            "address_2": "SUITE 5",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380176503",
            "telephone_number": "901-850-5426",
            "fax_number": "901-850-5226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "JEREMY",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-18",
        "last_updated": "2015-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "5704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1511718",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4143886",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7750939",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jan H Petri, MD
• Wendy Alexander Peyton, M.A., CCC-SLP
• Paula Pilgrim, MD
• Vickie Pitman, DNP, APRN, FNP-C
• Pittman Physical Therapy LLC
• Thomas Keith Ploch, DDS.
• Lisa Poole
• Lori Bennett Poorman, ASHA CCC-SLP
• Poplar Oaks Rehabilitation and Healthcare Center, LLC
• Anna Loren Possemato, PT, DPT

• Physical Therapist in Collierville, TN
• Providers in Collierville, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.