CUSTOMIZED MEDICAL NEEDS


Address: 2129 West Street, Suite 224, Germantown, TN 38138-3837
Phone: 8665637772

CUSTOMIZED MEDICAL NEEDS (NPI# 1124361688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124361688
Entity Type Organization
Organization Name CUSTOMIZED MEDICAL NEEDS
Practice Address 2129 West Street
Suite 224
Germantown
TN 38138-3837
Practice Telephone 8665637772
Practice Fax Number 9012550758
Mailing Telephone 8665637772
Mailing Fax Number 9012550758
Enumeration Date 2013-04-03
Last Update Date 2014-06-13
Authorized Official Name MRS. CHRISTI ALEXANDER DAVIDSON (EXECUTIVE DIRECTOR)
Authorized Official Telephone 8665637772
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YP2500X Counselor
Specialization: Professional
305 TN Behavioral Health & Social Service Providers
N 104100000X Social Worker Behavioral Health & Social Service Providers
N 133V00000X Dietitian, Registered Dietary & Nutritional Service Providers
N 163W00000X Registered Nurse Nursing Service Providers
N 224Z00000X Occupational Therapy Assistant Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 225200000X Physical Therapy Assistant Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers
Y 225X00000X Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
TN 1531379 05
TN MEDICARE (PTAN) 103G700897 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1679994198 Customized Medical Needs Point of Service 8295 Tournament Dr, Ste 2, Memphis, TN 38125-8906 2013-12-31
1801224829 Customized Medical Needs Case Management 8295 Tournament Dr Ste 150, Memphis, TN 38125-8900 2013-10-30

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities CUSTOMIZED MEDICAL NEEDS 6084 Apple Tree Dr Ste 10, Memphis, TN 38115-0305

Office Location

Street Address 2129 WEST STREET
SUITE 224
City GERMANTOWN
State TN
Zip Code 38138-3837

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063825669 Bianca Sade Moss Speech-Language Pathologist 2129 West Street, Suite 224, Germantown, TN 38138 2014-06-11
1659783926 Sharon Green Registered Nurse 2129 West Street, 224, Germantown, TN 38138 2014-05-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790382281 Bluff Medical Group Nurse Practitioner 1779 Kirby Parkway, Suite 1-212, Germantown, TN 38138 2020-10-07
1689293797 Diana Bryn Manning Dietitian, Registered 7705 Poplar Ave., Medical Office B, Suite 150, Germantown, TN 38138 2020-04-09
1386102796 Moscow Group LLC Pharmacy 2013 Exeter Rd, Germantown, TN 38138 2019-03-05
1952811010 Select Counselor 9045 Forest Centre Dr Ste 102, Germantown, TN 38138 2017-10-03
1033638994 901 Physical Therapy, Pllc Physical Therapist 2495 Regents Walk, Germantown, TN 38138 2017-09-12
1124552401 Elite Dental Germantown Plc Dentist 9064 Corporate Gradens Drive, Germantown, TN 38138 2017-04-13
1740728880 Christian C Haynes Nurse Anesthetist, Certified Registered 1900 Exeter Rd., Suite 210, Germantown, TN 38138 2017-02-09
1740644004 Kimberly Brooke Scheidegger Counselor 9045 Forest Centre Way, Heartlife Professional Soul Care, Germantown, TN 38138 2016-04-12
1427411644 Jimmy Tam Tran Internal Medicine 7550 Wolf River Blvd., Ste. 102, Germantown, TN 38138 2016-04-04
1952761876 Jane Chin Wynn Yeoh Orthopaedic Surgery 1400 South Germantown Road, Germantown, TN 38138 2016-03-04
Find all providers in zip 38138

Taxonomy Information

Taxonomy Code 225X00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist

Taxonomy Definition

An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336766039 Andrew Boyd Hamrick Occupational Therapist 8040 Wolf River Blvd Ste 102, Germantown, TN 38138-1773 2020-06-29
1154940773 Audrey Owens Occupational Therapist 2164 Night Shade Dr, Germantown, TN 38139-5318 2020-04-14
1750922316 Patrick Cardosi Occupational Therapist 9070 Grovelawn Cv E, Germantown, TN 38139-5679 2019-10-04
1578090528 Carol Chan Occupational Therapist 3180 Professional Plz Ste 101, Germantown, TN 38138-1534 2017-05-20
1336501915 Ashley Russell Occupational Therapist W175 N11117 Stonewood Drive, Suite 100, Germantown, WI 53022 2016-03-23
1346518768 Leslie Rebecca Tompkins Occupational Therapist 181 Mill Road, Germantown, NY 12526 2011-12-13
1730462516 Nimisha Shah Clawson Occupational Therapist 7480 Willey Rd, Germantown, TN 38138-2818 2011-09-27
1134457427 Rose Bavlnka Occupational Therapist W202n10223 Lannon Rd, Germantown, WI 53022-9545 2009-11-24
1992946453 Joan B Devlin Occupational Therapist W173n10915 Bernie's Way, Germantown, WI 53022-4043 2009-03-13
1891952628 Ayanna Hill Occupational Therapist 18938 Moonwalk Ct, Germantown, MD 20874-6119 2008-05-20
Find all providers in GERMANTOWN

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City GERMANTOWN
Zip Code 38138

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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