MEDICARE: 901 THERAPY OF COLLIERVILLE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	224Z00000X	Occupational Therapy Assistant
2	225200000X	Physical Therapy Assistant
3	225X00000X	Occupational Therapist
4	261QP2000X	Physical Therapy Clinic/Center
5	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1023817012
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	901 THERAPY OF COLLIERVILLE LLC

Provider Business Mailing Address
First Line	:	440 W US HIGHWAY 72 STE 2
Second Line	:
City	:	COLLIERVILLE
State	:	TN
Zip	:	38017-2804
Country	:	US
Telephone Number	:	901-221-8244
Fax Number	:

Provider Business Practice Location Address
First Line	:	440 W US HIGHWAY 72 STE 2
Second Line	:
City	:	COLLIERVILLE
State	:	TN
Zip	:	38017-2804
Country	:	US
Telephone Number	:	901-221-8244
Fax Number	:

Authorized Official
Title or Position	:	SLP
Name	:	MS. CHRISTY ERIN FLORES
Credential	:	MS CCC SLP
Telephone Number	:	901-488-9666

Provider Enumeration Date	:	03/11/2025
Last Update Date	:	03/25/2025

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Directions to “901 THERAPY OF COLLIERVILLE LLC ” Practice Location

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