NPIMap

Organization Active NPI

Larry H. Burks

Doing business as Putnam Physical Therapy Services

  • Physical Therapist
  • Cookeville, TN
National Provider Identifier
1508931114
Registry record updated Apr 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT0000000767 Issued in TN
Legal business name
LARRY H. BURKS
Doing business as
Putnam Physical Therapy Services
Practice address
1140 Perimeter Park Dr
Cookeville, TN 38501-0922
Phone
(931) 526-2345
Fax
(931) 528-1460
NPI assigned
Nov 21, 2006
Last updated
Apr 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2020

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

Authorized official

Name
Mr. Larry Hugh 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 with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT0000000767 TN 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 identifiers 1

IdentifierTypeStateIssuer
0095650OtherTNBLUECROSS BLUESHIELD

Other names 1

  • Putnam Physical Therapy Services Doing business as

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587081600000",
    "number": "1508931114",
    "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": [],
    "basic": {
        "organization_name": "LARRY H. BURKS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A",
        "authorized_official_last_name": "BURKS",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "HUGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-526-2345",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT0000000767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "0095650",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Putnam Physical Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Putnam Physical Therapy Services",
            "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, 2020; 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.