MEDICARE: THERAPY SUCCESS, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	SP4043	TN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1629328562	OTHER	TN	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1629328562
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THERAPY SUCCESS, LLC

Provider Business Mailing Address
First Line	:	5120 FOGGY RIVER LN
Second Line	:
City	:	BARTLETT
State	:	TN
Zip	:	38135-6261
Country	:	US
Telephone Number	:	901-596-2747
Fax Number	:	901-207-7189

Provider Business Practice Location Address
First Line	:	5120 FOGGY RIVER LN
Second Line	:
City	:	BARTLETT
State	:	TN
Zip	:	38135-6261
Country	:	US
Telephone Number	:	901-596-2747
Fax Number	:	901-207-7189

Authorized Official
Title or Position	:	REGISTERED AGENT/THERAPIST
Name	:	MS. ASHLEY R FOWLER
Credential	:	MCD, CCC-SLP
Telephone Number	:	901-596-2747

Provider Enumeration Date	:	09/19/2012
Last Update Date	:	01/19/2016

Similar Medicare Providers

1942367917 — MS. ASHLEY RACHELLE FOWLER MCD, CCC-SLP
Practice Location Address:

5120 FOGGY RIVER LN
BARTLETT, TN
38135-6261

Practice Phone: 901-596-2747
Practice Fax: 901-509-2704

1578974598 — THERAPY SUCCESS, LLC
Practice Location Address:

5120 FOGGY RIVER LN
BARTLETT, TN
38135-6261

Practice Phone: 901-596-2747
Practice Fax: 901-509-2704

1144175696 — MR. REX JOSEPH GAINES FNP-C
Practice Location Address:

3584 GREENLEAF RD
BARTLETT, TN
38135-2620

Practice Phone: 901-270-9051
Practice Fax:

1699621540 — REZHWAN HASSAN FNP-C
Practice Location Address:

3909 WHEELERS RUN CV
BARTLETT, TN
38135-1975

Practice Phone: 901-741-7047
Practice Fax:

1528068038 — MS. GLORIA M. DIAZ-RAMOS OTR/L
Practice Location Address:

4137 CALLIE POWELL CV
BARTLETT, TN
38135-1645

Practice Phone: 901-438-7162
Practice Fax:

1922056431 — CARL J SICILIANO DPM
Practice Location Address:

7424 US HIGHWAY 64 , STE 119
BARTLETT, TN
38135

Practice Phone: 901-381-2800
Practice Fax: 901-381-2677

Directions to “THERAPY SUCCESS, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.