Healthcare Provider Details

I. General information

NPI: 1205635869
Provider Name (Legal Business Name): MSK GROUP PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2025
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8010 STAGE HILLS BLVD
BARTLETT TN
38133-4037
US

IV. Provider business mailing address

6077 PRIMACY PKWY STE 140
MEMPHIS TN
38119-5754
US

V. Phone/Fax

Practice location:
  • Phone: 901-641-3000
  • Fax: 901-701-2400
Mailing address:
  • Phone: 901-937-3200
  • Fax: 901-725-8346

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: CHRIS RUSCITTO
Title or Position: CFO
Credential:
Phone: 901-641-3000