Active NPI
Maurice Mottley
- Physical Therapist
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 4816 Riverdale Rd
Memphis, TN 38141-8529 - Phone
- (901) 522-6830
- Fax
- (901) 737-7926
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
4816 Riverdale Rd
Memphis, TN 38141-8529
Mailing address
4816 Riverdale Rd
Memphis, TN 38141-8529
Phone (901) 522-6830
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5286 | Other | TN | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6286 Briarcrest Ave
Memphis, TN 38120-4023
8010 Stage Hills Blvd
Bartlett, TN 38133-4037
Phone (901) 937-3200
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5286 | TN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MSK Group, PC | Physical Therapist | Current | Accepting new patients |
| MSK Group, PC | Physical Therapist | Current | Accepting new patients |
| Physioplus LLC | Past | Accepting new patients | |
| MSK Group PC | Physical Therapist | Past | Accepting new patients |
| Tri-State Orthopaedics, LLC | Past | Accepting new patients | |
| Tri-State Orthopaedics, LLC | Past | Accepting new patients |
Locations
3045 Kate Bond Rd
Bartlett, TN 38133
Phone (901) 381-4664
6286 Briarcrest Ave
#200
Memphis, TN 38120
Phone (901) 259-1600
6286 Briarcrest Ave
Ste 100
Memphis, TN 38120
Phone (901) 259-1600
4816 Riverdale Rd
Memphis, TN 38141
Phone (901) 522-6830
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba OrthoSouth
- Orthopaedic Surgery Physician
- Memphis, TN
- NPI 1376541409
Physical Therapist
-
- Physical Therapy Clinic/Center
- Memphis, TN
- NPI 1396750071
-
- Orthopaedic Surgery Physician
- Germantown, TN
- NPI 1033536107
-
- Orthopaedic Surgery Physician
- Memphis, TN
- NPI 1871531426
-
dba OrthoSouth
- Orthopaedic Surgery Physician
- Southaven, MS
- NPI 1912303447
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291852800000",
"number": "1952411662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4816 RIVERDALE RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381418529",
"telephone_number": "901-522-6830",
"fax_number": "901-737-7926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4816 RIVERDALE RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381418529",
"telephone_number": "901-522-6830",
"fax_number": "901-737-7926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOTTLEY",
"first_name": "MAURICE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2010-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "5286",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; 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.