Home Therapy Care, PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT5144 Issued in TN

Legal business name

HOME THERAPY CARE, PC

Practice address

2855 Stage Village CV Ste 1
Bartlett, TN 38134-4616

Phone

(901) 828-1816

NPI assigned

Mar 12, 2018

Last updated

Feb 12, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ildefonso Laquindanum

Title

Office Manager

Phone

(901) 848-6376

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613088000000",
    "number": "1942703426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 STAGE VILLAGE COVE",
            "address_2": "SUITE 1",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381344616",
            "telephone_number": "901-828-1816",
            "fax_number": "901-737-9097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 STAGE VILLAGE CV STE 1",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381344616",
            "telephone_number": "901-828-1816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Dartford Dr",
            "address_purpose": "LOCATION",
            "city": "Cordova",
            "state": "TN",
            "postal_code": "380164019",
            "country_code": "US",
            "telephone_number": "901-828-1816",
            "fax_number": "901-737-9097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOME THERAPY CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-12",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A",
        "authorized_official_last_name": "LAQUINDANUM",
        "authorized_official_first_name": "ILDEFONSO",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "901-848-6376"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT5144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; 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.