Individual provider Active NPI

Mary Elizabeth Gunnels, PT, CERT. MDT

  • Physical Therapist
  • Livingston, TN
National Provider Identifier
1295815967
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2041 Issued in TN
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
2041TNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Larry H. Burks Physical Therapist PastSince Sep 17, 2012 Accepting new patients
Physical Medicine Center of the Cumberlands Past Accepting new patients
Putnam Physical Therapy Services, LLC Physical Therapist PastSince Oct 20, 2019 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.

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.

Verify at the official NPI Registry.