Active NPI
Tiffany Hardison, PT
- Sports Physical Therapist
- Memphis, TN
National Provider Identifier
1992966899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physical Therapist
- License
- PT 27733
- Practice address
- 6019 Walnut Grove Rd
Memphis, TN 38120-2113 - Phone
- (901) 226-5180
- NPI assigned
- Jun 23, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physical Therapist | 2251S0007X | PT010588 | GA | |
| Sports Physical Therapist | 2251S0007X | 2305204922 | VA | |
| Sports Physical Therapist | 2251S0007X | PT7650 | TN | |
| Sports Physical Therapist | 2251S0007X | PT 27733 | FL | Primary |
| Sports Physical Therapist | 2251S0007X | 1170668 | TX |
Addresses
Primary practice location
6019 Walnut Grove Rd
Memphis, TN 38120-2113
Mailing address
8129 Broken Rock CV
Cordova, TN 38016-6068
Phone (901) 643-9020
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 27733 | FL | MD | Sports Physical Therapist |
| PT010588 | GA | MD | Sports Physical Therapist |
| PT7650 | TN | MD | Sports Physical Therapist |
| 2305204922 | VA | MD | Sports Physical Therapist |
| 1170668 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MSK Group, PC | Past | Accepting new patients | |
| MSK Group, PC | Past | Accepting new patients | |
| MSK Group PC | Past | Accepting new patients | |
| Memphis Orthopaedic Group PC | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Orthopaedic Surgery Physician
- Memphis, TN
- NPI 1386628329
-
- Orthopaedic Surgery Physician
- Memphis, TN
- NPI 1376541409
-
- Orthopaedic Surgery Physician
- Southaven, MS
- NPI 1912303447
-
- Physical Therapist
- Southaven, MS
- NPI 1114793189
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406160000000",
"number": "1992966899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8129 BROKEN ROCK CV",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380166068",
"telephone_number": "901-643-9020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6019 WALNUT GROVE RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381202113",
"telephone_number": "901-226-5180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDISON",
"first_name": "TIFFANY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-23",
"last_updated": "2014-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "GA",
"license": "PT010588",
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "VA",
"license": "2305204922",
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "TN",
"license": "PT7650",
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "FL",
"license": "PT 27733",
"primary": true
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "TX",
"license": "1170668",
"primary": false
}
],
"identifiers": [],
"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 Jul 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.