Active NPI
T L Burton
- Registered Nurse
- Ooltewah, TN
National Provider Identifier
1124989413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 208974
- Practice address
- 7629 Royal Harbour Cir
Ooltewah, TN 37363-9153 - Phone
- (423) 903-7568
- NPI assigned
- Nov 18, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 208974 | TN | Primary |
Addresses
Primary practice location
7629 Royal Harbour Cir
Ooltewah, TN 37363-9153
Mailing address
116 Agnes Rd
Knoxville, TN 37919-6306
Phone (423) 588-9088
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 208974 | TN | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-State Functional Neurotherapy | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Ooltewah, TN
- NPI 1437010733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773360000000",
"number": "1124989413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 AGNES RD",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379196306",
"telephone_number": "423-588-9088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7629 ROYAL HARBOUR CIR",
"city": "OOLTEWAH",
"state": "TN",
"postal_code": "373639153",
"telephone_number": "423-903-7568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURTON",
"first_name": "T",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-11-18",
"last_updated": "2026-03-13",
"certification_date": "2026-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "208974",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ooltewah, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.