Active NPI
Mary Elizabeth Gunnels, PT, CERT. MDT
- Physical Therapist
- Livingston, TN
National Provider Identifier
1295815967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2041
- Practice address
- 7385 Bradford Hicks Dr
Livingston, TN 38570-2239 - Phone
- (931) 823-1200
- Fax
- (931) 823-1209
- NPI assigned
- Oct 17, 2006
- Sex
- Female
- 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 Therapist | 225100000X | 2041 | TN | Primary |
Addresses
Primary practice location
7385 Bradford Hicks Dr
Livingston, TN 38570-2239
Mailing address
PO Box 494
Livingston, TN 38570-0494
Phone (931) 823-1200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2041 | TN | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Larry H. Burks | Physical Therapist | Past | Accepting new patients |
| Physical Medicine Center of the Cumberlands | Past | Accepting new patients | |
| Putnam Physical Therapy Services, LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Physical Therapist
- Cookeville, TN
- NPI 1508931114
-
- Physical Therapy Clinic/Center
- Livingston, TN
- NPI 1326048737
-
- Physical Therapist
- Cookeville, TN
- NPI 1356984769
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295815967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 494",
"city": "LIVINGSTON",
"state": "TN",
"postal_code": "385700494",
"telephone_number": "931-823-1200",
"fax_number": "931-823-1209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7385 BRADFORD HICKS DR",
"city": "LIVINGSTON",
"state": "TN",
"postal_code": "385702239",
"telephone_number": "931-823-1200",
"fax_number": "931-823-1209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUNNELS",
"first_name": "MARY",
"middle_name": "ELIZABETH",
"credential": "PT, CERT. MDT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "2041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Livingston, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.