Devin Nicole Burson, PT

Individual provider Active NPI Physical Medicine & Rehabilitation Physician · Arlington, TN

NPI 1154935674 · NPPES record last updated Sep 2, 2020

Key facts

NPI
1154935674
Entity type
Individual (NPI type 1)
Primary specialty
Physical Medicine & Rehabilitation Physician 208100000X
License
13163 (TN)
Practice address
5780 Airline Rd Ste 109
Arlington, TN 38002-5982
Phone
(901) 317-7054
Fax
(901) 317-7064
NPI assigned
Sep 2, 2020
Sex
Female
Sole proprietor
No

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.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
University of Texas Medical Branch at Galveston, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midsouth Orthopaedic Rehabilitation (12 clinicians)

Practice addresses (Care Compare)

256 Germantown Bend CV
Suite 102
Cordova, TN 38018-5212
Phone (901) 522-6671

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TN

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20200930003207 TN Practitioner - Physical Therapist in Private Practice 1658790225 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
13163TNMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midsouth Orthopaedic Rehabilitation Current
since Mar 1, 2021
Accepting new patients

Locations

256 Germantown Bend Cv
Ste 102
Cordova, TN 38018
Phone (901) 522-6671

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 13163 TN Yes

Addresses

Primary practice location

5780 Airline Rd Ste 109
Arlington, TN 38002-5982

Mailing address

5780 Airline Rd Ste 109
Arlington, TN 38002-5982
Phone (901) 317-7054

Other providers in Arlington, TN

All providers in Arlington, TN · Physical Medicine & Rehabilitation Physician in Tennessee

Sources for this page

Verify at the official NPI Registry.