Organization Active NPI

National Physical Therapy of Tennessee Inc

  • Physical Therapist
  • Manchester, TN
National Provider Identifier
1144388513
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT926 Issued in TN
Legal business name
NATIONAL PHYSICAL THERAPY OF TENNESSEE INC
Practice address
852 Interstate Dr
Manchester, TN 37355-3104
Phone
(931) 728-6459
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
John R Burch, PT
Title
President
Phone
(931) 728-6459

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT926 TN Primary

Addresses

Primary practice location

852 Interstate Dr
Manchester, TN 37355-3104

Mailing address

852 Interstate Dr
Manchester, TN 37355-3104
Phone (931) 728-6459

Other identifiers 1

IdentifierTypeStateIssuer
3730917MedicaidTN

National Provider Directory

National Provider Directory

Locations

852 Interstate Dr
Manchester, TN 37355
Phone (931) 728-5479

2345 Murfreesboro Hwy
Manchester, TN 37355
Phone (931) 728-5479

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144388513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "852 INTERSTATE DR",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373553104",
            "telephone_number": "931-728-6459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "852 INTERSTATE DR",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373553104",
            "telephone_number": "931-728-6459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL PHYSICAL THERAPY OF TENNESSEE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURCH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "931-728-6459",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3730917",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.