Active NPI
Joshua Burton, MPT,DPT
- Physical Medicine & Rehabilitation Physician
- Collierville, TN
National Provider Identifier
1235821745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 7373
- Practice address
- 102 W Poplar Ave
Collierville, TN 38017-2645 - Phone
- (901) 870-7425
- NPI assigned
- May 23, 2023
- Last updated
- May 23, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 7373 | TN | Primary |
Addresses
Primary practice location
102 W Poplar Ave
Collierville, TN 38017-2645
Mailing address
102 W Poplar Ave
Collierville, TN 38017-2645
Phone (901) 870-7425
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241104001649 | TX | Practitioner - Physical Therapist in Private Practice | 6002349610 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7373 | TN | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684800000000",
"number": "1235821745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 W POPLAR AVE",
"city": "COLLIERVILLE",
"state": "TN",
"postal_code": "380172645",
"telephone_number": "901-870-7425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 W POPLAR AVE",
"city": "COLLIERVILLE",
"state": "TN",
"postal_code": "380172645",
"telephone_number": "901-870-7425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURTON",
"first_name": "JOSHUA",
"credential": "MPT,DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-05-23",
"last_updated": "2023-05-23",
"certification_date": "2023-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "TN",
"license": "7373",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Collierville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.