Linda C Burgess, PT
Individual provider Active NPI Pediatric Physical Therapist · Fairview, TN
NPI 1306117130 · NPPES record last updated Jan 25, 2012
Key facts
- NPI
- 1306117130
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Physical Therapist 2251P0200X
- License
- 1955 (TN)
- Practice address
- 7370 Forrest Glenn Rd
Fairview, TN 37062-8311 - Phone
- (615) 400-7370
- NPI assigned
- Jan 25, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1955 | TN | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 1955 | TN | Yes |
Addresses
Primary practice location
7370 Forrest Glenn Rd
Fairview, TN 37062-8311
Mailing address
7370 Forrest Glenn Rd
Fairview, TN 37062-8311
Phone (615) 400-7370
Other names
- Carol Burgess
Other providers in Fairview, TN
- Abraham David Borja
- Boulevard Dental PLLC
- George Alexander Bragg
- Breanna M Barnes DMD PLLC
- Sydney Brooks
- Jason L Cabler
- Shelbi Breanne Cameron
- Erin Castellaw
- Centerstone
- Amanda Clark
All providers in Fairview, TN · Pediatric Physical Therapist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.