Provider Demographics
NPI:1326221854
Name:LEADER PHYSICAL THERAPY LIMITED PARTNERSHIP
Entity Type:Organization
Organization Name:LEADER PHYSICAL THERAPY LIMITED PARTNERSHIP
Other - Org Name:MEMPHIS PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP, AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:CORRIGAN
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:713-297-7000
Mailing Address - Street 1:1300 W SAM HOUSTON PKWY S
Mailing Address - Street 2:SUITE 300
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-2447
Mailing Address - Country:US
Mailing Address - Phone:713-297-7000
Mailing Address - Fax:713-297-7090
Practice Address - Street 1:440 N FRONT ST
Practice Address - Street 2:SUITE 102
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38105-1537
Practice Address - Country:US
Practice Address - Phone:901-577-9484
Practice Address - Fax:901-577-9483
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LEADER PHYSICAL THERAPY LIMITED PARTNERSHIP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-12-06
Last Update Date:2009-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3370223Medicare PIN