Active NPI
Kathy Burdick Lane, PT
- Geriatric Physical Therapist
- White Pine, TN
National Provider Identifier
1386519908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- 992
- Practice address
- 407 Laura Lee Dr
White Pine, TN 37890-3500 - Phone
- (865) 327-4100
- NPI assigned
- Oct 6, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | 992 | TN | Primary |
Addresses
Primary practice location
407 Laura Lee Dr
White Pine, TN 37890-3500
Mailing address
4528 Horseshoe TRL
Morristown, TN 37814-8030
Phone (865) 318-5304
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 992 | TN | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759708800000",
"number": "1386519908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4528 HORSESHOE TRL",
"city": "MORRISTOWN",
"state": "TN",
"postal_code": "378148030",
"telephone_number": "865-318-5304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 LAURA LEE DR",
"city": "WHITE PINE",
"state": "TN",
"postal_code": "378903500",
"telephone_number": "865-327-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANE",
"first_name": "KATHY",
"middle_name": "BURDICK",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-10-06",
"last_updated": "2025-10-06",
"certification_date": "2025-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "TN",
"license": "992",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in White Pine, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.