Noida Anna Ababao-Alexander, PT

Individual provider Active NPI Physical Therapist · Cordova, TN

NPI 1952556979 · NPPES record last updated Nov 18, 2008

Key facts

NPI
1952556979
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
3273 (TN)
Practice address
275 S Walnut Bend Rd
Suite 100
Cordova, TN 38018-7279
Phone
(901) 756-9944
NPI assigned
Nov 18, 2008
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
7212TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lymphatic Therapy Services, LLC Physical Therapist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3273 TN Yes
Massage Therapist 225700000X 7212 TN

Addresses

Primary practice location

275 S Walnut Bend Rd
Suite 100
Cordova, TN 38018-7279

Mailing address

275 S Walnut Bend Rd
Suite 100
Cordova, TN 38018-7279
Phone (901) 756-9944

Other providers in Cordova, TN

All providers in Cordova, TN · Physical Therapist in Tennessee

Sources for this page

Verify at the official NPI Registry.