NPIMap

Organization Active NPI

Therapy Hut, Inc.

  • Occupational Therapist
  • Cordova, TN
National Provider Identifier
1942591821
Registry record updated Aug 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
955 Issued in TN
Legal business name
THERAPY HUT, INC.
Practice address
895 Willow Tree Cir Ste 100
Cordova, TN 38018-3107
Phone
(901) 309-5219
Fax
(901) 309-5265
NPI assigned
Apr 26, 2011
Last updated
Aug 25, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2014

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

Authorized official

Name
Mr. Marwyn Garibay Benemerito, OTR/LNPI 1295834752
Title
Owner/ Occupational Therapist
Phone
(901) 309-5219

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 3892 TN
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 955 TN Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 2379 TN
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 3275 TN
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 3278 TN

Addresses

Primary practice location

895 Willow Tree Cir Ste 100
Cordova, TN 38018-3107

Mailing address

895 Willow Tree Cir Ste 100
Cordova, TN 38018-3107
Phone (901) 309-5219

Other identifiers 2

IdentifierTypeStateIssuer
4285501OtherTNBCBS
7813841OtherTNAETNA

National Provider Directory

National Provider Directory

Locations

895 Willow Tree Cir
Ste 100
Cordova, TN 38018
Phone (901) 309-5219

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": "1303776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408924800000",
    "number": "1942591821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 WILLOW TREE CIR STE 100",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380183107",
            "telephone_number": "901-309-5219",
            "fax_number": "901-309-5265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 WILLOW TREE CIR STE 100",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380183107",
            "telephone_number": "901-309-5219",
            "fax_number": "901-309-5265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY HUT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-26",
        "last_updated": "2014-08-25",
        "status": "A",
        "authorized_official_last_name": "BENEMERITO",
        "authorized_official_first_name": "MARWYN",
        "authorized_official_middle_name": "GARIBAY",
        "authorized_official_title_or_position": "OWNER/ OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "901-309-5219",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "3892",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "955",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "2379",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "3275",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "3278",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4285501",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7813841",
            "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 Aug 25, 2014; 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.