Active NPI
Brian Matthew Defeo, PT, DPT
- Physical Therapist
- Memphis, TN
National Provider Identifier
1972818920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8688
- Practice address
- 1513 N 2ND St
Memphis, TN 38107-1003 - Phone
- (901) 791-0416
- NPI assigned
- Aug 15, 2010
- Last updated
- Aug 15, 2010
- 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 | 8688 | TN | Primary |
Addresses
Primary practice location
1513 N 2ND St
Memphis, TN 38107-1003
Mailing address
1420 River Look Cir
Apt. 201
Memphis, TN 38103-7928
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8688 | TN | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281830400000",
"number": "1972818920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1420 RIVER LOOK CIR",
"address_2": "APT. 201",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381037928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1513 N 2ND ST",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381071003",
"telephone_number": "901-791-0416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEFEO",
"first_name": "BRIAN",
"middle_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-15",
"last_updated": "2010-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "8688",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
- Dedicated Physicians Group of Tennessee, PLLC (Dedicated Senior Medical Center Lamar Airways)
- Rebekah Meadows Dedwylder, PA
- Dee's Around the Clock
- Deepika R Pulusani, MD, PC
- Rachel Deese, LPC-MHSP
- Charlotte A Deflumere, M.D.
- Joseph A Defranco, MD
- Kelsey Defreece
- Mojdeh Dehghan, DDS
- Sondra Deimund, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.