NPIMap

Organization Active NPI

Putnam Physical Therapy Services, LLC

  • Physical Therapist
  • Cookeville, TN
National Provider Identifier
1356984769
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PUTNAM PHYSICAL THERAPY SERVICES, LLC
Practice address
1140 Perimeter Park Dr
Cookeville, TN 38501-0922
Phone
(931) 526-2345
Fax
(931) 528-1460
NPI assigned
Oct 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Authorized official

Name
Larry H Burks, PTNPI 1497829535
Title
Owner
Phone
(931) 526-2345

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1140 Perimeter Park Dr
Cookeville, TN 38501-0922

Mailing address

1140 Perimeter Park Dr
Cookeville, TN 38501-0922
Phone (931) 526-2345

Other practice location 1

550 N Spring St
Sparta, TN 38583-1330
Phone (931) 837-2221

Other practice location 2

1305 N Ellington Parkway
Lewisburg, TN 37091
Phone (931) 526-2345

Other names 1

  • Cumberland Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200108002977 TN Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9739514373 Receives reassigned benefits from 14 practitioners
Practice locations: Cookeville, TN; Sparta, TN; Lewisburg, TN

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1140 Perimeter Park Dr
Cookeville, TN 38501
Phone (615) 526-2345

1305 N Ellington Pkwy
Lewisburg, TN 37091
Phone (931) 246-9334

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1571356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744848000000",
    "number": "1356984769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 PERIMETER PARK DR",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385010922",
            "telephone_number": "931-526-2345",
            "fax_number": "931-528-1460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 PERIMETER PARK DR",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385010922",
            "telephone_number": "931-526-2345",
            "fax_number": "931-528-1460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 N Spring St",
            "address_purpose": "LOCATION",
            "city": "Sparta",
            "state": "TN",
            "postal_code": "385831330",
            "country_code": "US",
            "telephone_number": "931-837-2221",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1305 N Ellington Parkway",
            "address_purpose": "LOCATION",
            "city": "Lewisburg",
            "state": "TN",
            "postal_code": "37091",
            "country_code": "US",
            "telephone_number": "931-526-2345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PUTNAM PHYSICAL THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-18",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-11",
        "status": "A",
        "authorized_official_last_name": "BURKS",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-526-2345",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cumberland Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cookeville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; 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.

Verify at the official NPI Registry.