Individual provider Active NPI

Maurice Mottley

  • Physical Therapist
  • Memphis, TN
National Provider Identifier
1952411662
Registry record updated Dec 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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

Updated by the provider on Dec 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
5286OtherTNLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071213000707 TN Practitioner - Physical Therapist in Private Practice 1850481839 Reassigns benefits to 1 organization

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
MSK Group PCGroup PAC ID 4688574262, 138 clinicians

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 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5286TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
MSK Group, PC Physical Therapist CurrentSince Mar 8, 2010 Accepting new patients
MSK Group, PC Physical Therapist CurrentSince Mar 8, 2010 Accepting new patients
Physioplus LLC PastSince May 23, 2013 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.

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.

Verify at the official NPI Registry.