Derrick Richard Torres, PT

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA000005981 Issued in TN

Practice address

80 South Prescott Street
Momentum Physical Rehabilitation, LLC
Memphis, TN 38111-4635

Phone

(901) 257-3422

Fax

(901) 257-3423

NPI assigned

Jul 16, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Momentum Physical Rehabilitation, LLC

  • Physical Therapist
  • Memphis, TN
  • NPI 1639172653

  Physical Therapy Assistant

  NPD (past)

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437004800000",
    "number": "1972987139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 SOUTH PRESCOTT STREET",
            "address_2": "MOMENTUM PHYSICAL REHABILITATION, LLC",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381114635",
            "telephone_number": "901-257-3422",
            "fax_number": "901-257-3423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 SOUTH PRESCOTT STREET",
            "address_2": "MOMENTUM PHYSICAL REHABILITATION, LLC",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381114635",
            "telephone_number": "901-257-3422",
            "fax_number": "901-257-3423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES",
        "first_name": "DERRICK",
        "middle_name": "RICHARD",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-16",
        "last_updated": "2015-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "PTA000005981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBST",
            "identifier": "4004523",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0446657",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Top Priority Transportation
• Top Tier Caregivers LLC
• Topstar Home Care Agency LLC
• Kwame Emmanuel Torgbe, MD
• Bridgette Jone Torrance-Williams, DNP
• Donita Torres, RN
• Lisa Torres, NP-C, PMHNP-C
• Jana Torresola
• Sonia Abril Torrey, LPC-MHSP
• Tortugas Dialysis LLC

• Physical Therapy Assistant in Memphis, TN
• Providers in Memphis, TN by specialty
• Physical Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; 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.