Genie Sieber Ullrich, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2791 Issued in TN

Practice address

1034 Reelfoot St
Tiptonville, TN 38079-1607

Phone

(731) 253-6681

Fax

(731) 253-8014

NPI assigned

Jul 20, 2010

Last updated

Jul 20, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1279584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279584000000",
    "number": "1932412913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 REELFOOT ST",
            "city": "TIPTONVILLE",
            "state": "TN",
            "postal_code": "380791607",
            "telephone_number": "731-253-7266",
            "fax_number": "731-253-7267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 REELFOOT ST",
            "city": "TIPTONVILLE",
            "state": "TN",
            "postal_code": "380791607",
            "telephone_number": "731-253-6681",
            "fax_number": "731-253-8014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULLRICH",
        "first_name": "GENIE",
        "middle_name": "SIEBER",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-20",
        "last_updated": "2010-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "2791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• State of Tennessee (Lake County Health Department)
• T & W Incorporated (Tiptonville Health Mart Drug)
• Taylor Brothers Pharmacy LLC
• Tiptonville Family Pharmacy
• Total Renal Care Inc (Tiptonville Dialysis)
• J.C. Williams
• Kimberly Dawn Williams
• Vivian Windsor, LPC/MHSP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; 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.