Robert Carl Nunn, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2061249 Issued in TX

Practice address

150 Gibson Rd
Athens, TX 75751

Phone

(903) 677-5864

NPI assigned

Jun 20, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534723200000",
    "number": "1134324924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 FAIRMONT CIR",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751101808",
            "telephone_number": "903-654-5619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 GIBSON RD",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "75751",
            "telephone_number": "903-677-5864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18116 Tile Factory Rd",
            "address_purpose": "LOCATION",
            "city": "Palestine",
            "state": "TX",
            "postal_code": "75803",
            "country_code": "US",
            "telephone_number": "903-723-0950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 W 3rd Ave Ste 6",
            "address_purpose": "LOCATION",
            "city": "Corsicana",
            "state": "TX",
            "postal_code": "751104564",
            "country_code": "US",
            "telephone_number": "903-872-5925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NUNN",
        "first_name": "ROBERT",
        "middle_name": "CARL",
        "credential": "LPTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-20",
        "last_updated": "2018-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2061249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Athens, TX
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.