Nancy D. Cogburn

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0000010045 Issued in TN

Legal business name

NANCY D. COGBURN

Practice address

1759 Scenic Dr
Maryville, TN 37803-5535

Phone

(865) 654-2069

Fax

(865) 233-2476

NPI assigned

Feb 11, 2017

Organization subpart

No

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

Authorized official

Name

Nancy Cogburn, P.T., D.P.T.

Title

Owner

Phone

(865) 654-2069

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pediatric Physical Therapy Doing business as

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

{
    "created_epoch": "1486771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486771200000",
    "number": "1184162000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4471",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378024471",
            "telephone_number": "865-654-2069",
            "fax_number": "865-233-2476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1759 SCENIC DR",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378035535",
            "telephone_number": "865-654-2069",
            "fax_number": "865-233-2476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY D. COGBURN",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-11",
        "last_updated": "2017-02-11",
        "status": "A",
        "authorized_official_last_name": "COGBURN",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-654-2069",
        "authorized_official_credential": "P.T., D.P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "0000010045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1534803",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ravindra Murthy, MD
• Rebecca Thoms Muth, MPT
• Ida Muzzio, SLP
• Donna Kay Myers, APN
• Stephen Luke Myers, PHARMACIST
• Lakshmie L Napagoda
• Troy Randall Napier, DMD
• Morgan Nataro, LPC
• National Vision Inc
• Alexandra Neal, LMSW

• Physical Therapist in Maryville, TN
• Providers in Maryville, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2017; 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.