PITTMAN PHYSICAL THERAPY LLC (NPI# 1790987592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790987592 |
| Entity Type | Organization |
| Organization Name | PITTMAN PHYSICAL THERAPY LLC |
| Practice Address |
622 W Poplar Ave Suite 5 Collierville TN 38017-6503 |
| Practice Telephone | 9018505246 |
| Practice Fax Number | 9018505226 |
| Mailing Telephone | 9018505246 |
| Mailing Fax Number | 9018505226 |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2015-06-04 |
| Authorized Official Name | MR. JEREMY HARLOW PITTMAN (OWNER) |
| Authorized Official Telephone | 9018505246 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
5704 | TN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | MEDICARE GROUP NUMBER | 3736856 | 01 |
| TN | RAILROAD MEDICARE PROVIDER NUMBER | DG5965 | 01 |
| TN | BLUE CROSS BLUE SHIELD OF TN GROUP PROVIDER NUMBER | 4143885 | 01 |
| Street Address |
622 W POPLAR AVE SUITE 5 |
| City | COLLIERVILLE |
| State | TN |
| Zip Code | 38017-6503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912966060 | Jeremy H Pittman | Physical Therapist | 622 W Poplar Ave, Suite 5, Collierville, TN 38017-6503 | 2006-03-18 |
| 1376091215 | Jeffrey Lynn Edwards Jr. | Physical Therapist | 622 W Poplar Ave, Suite 5, Collierville, TN 38017-6503 | 2016-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144827338 | George Nathan Freeman IIi | Chiropractor | 2028 W. Poplar, Suite 105, Collierville, TN 38017 | 2020-10-01 |
| 1104440171 | Cecelia Hunt | Social Worker | 2555 Halle Parkwsy, Collierville, TN 38017 | 2020-06-04 |
| 1053803403 | Sarah Harris | Physical Therapist | 605 Heather Lake Cv, Collierville, TN 38017 | 2018-06-01 |
| 1023507811 | Sandra P Morris | Pharmacist | 560 West Poplar, Collierville, TN 38017 | 2018-05-07 |
| 1043751159 | Rahim Panjwani | Physical Therapist | 2028 W. Poplar Ave, Collierville, TN 38017 | 2017-03-09 |
| 1104273234 | The Branch House | Counselor | 562 Center St, Collierville, TN 38017 | 2016-05-18 |
| 1760840052 | Amodeo Chiropractic Center Inc | Chiropractor | 161 Hwy 72 East, Collierville, TN 38017 | 2016-02-02 |
| 1235520628 | Bonnie Morales | Nurse Practitioner | 472 W. Poplar Ave, Collierville, TN 38017 | 2015-02-06 |
| 1841616513 | First Choice Transportation | Non-emergency Medical Transport (VAN) | 336 E. Valleywood Drive, Collierville, TN 38017 | 2014-03-05 |
| 1821424276 | Shana Cole Cannon | Licensed Practical Nurse | 777 W. Poplar Ave., Suite 104, Collierville, TN 38017 | 2013-09-17 |
| Find all providers in zip 38017 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457708265 | Align Therapy LLC | Clinic/Center | 544 Catamount St, Collierville, TN 38017-4070 | 2016-05-22 |
| 1063723500 | Agilitas Usa Inc | Clinic/Center | 875 W Poplar Ave Ste 18, Collierville, TN 38017-2568 | 2010-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831717271 | Agilitas Usa, Inc | Clinic/Center | 109 Del Rio Pike Ste 105, Franklin, TN 37064-2578 | 2020-07-13 |
| 1033737689 | Therapy Plus LLC | Clinic/Center | 4108 Asheville Hwy, Knoxville, TN 37914-3505 | 2020-07-10 |
| 1235754888 | Robert Hutchens | Clinic/Center | 871 Ridgeway Loop Rd Ste 100, Memphis, TN 38120-4026 | 2020-06-09 |
| 1841815628 | Mndfl Physio LLC | Clinic/Center | 405 Midnight Sun Cir, Nashville, TN 37211-6822 | 2020-06-08 |
| 1427678069 | Pro Care Physical Therapy, LLC | Clinic/Center | 105 Center Park Dr Ste 101, Knoxville, TN 37922-3470 | 2020-04-23 |
| 1548892086 | Joshua Gibson | Clinic/Center | 1142 Cliffview Cir, Gray, TN 37615-5211 | 2020-02-11 |
| 1841822525 | Fagan Geriatric Wellness and Rehabilitation | Clinic/Center | 143 E Prince St, Gallatin, TN 37066-2880 | 2020-02-10 |
| 1255978003 | Archer Physical Therapy, LLC | Clinic/Center | 1206b N 8th St, Nashville, TN 37207-5526 | 2019-11-27 |
| 1619519683 | Agilitas Usa, Inc | Clinic/Center | 627 S. James Campbell Blvd., Suite B, Columbia, TN 38401 | 2019-10-11 |
| 1033750310 | Nashville Physical Therapy & Performance, Pllc | Clinic/Center | 15115 Old Hickory Blvd Ste C, Nashville, TN 37211-6585 | 2019-10-08 |
| Find all providers with the same taxonomy | ||||
| City | COLLIERVILLE |
| Zip Code | 38017 |
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| 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.