Active NPI
Hunter Wyatt Burns, PT, DPT
- Physical Therapist
- Proctorville, OH
National Provider Identifier
1619542842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT019311
- Practice address
- 6272 County Road 107 Ste B
Proctorville, OH 45669-9243 - Phone
- (740) 867-2200
- Fax
- (740) 867-2203
- NPI assigned
- May 20, 2021
- Last updated
- Apr 7, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT019311 | OH | Primary |
Addresses
Primary practice location
6272 County Road 107 Ste B
Proctorville, OH 45669-9243
Mailing address
PO Box 1240
Ashland, KY 41105-1240
Phone (606) 325-7955
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 |
|---|---|---|---|
| PT019311 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712448000000",
"number": "1619542842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1240",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411051240",
"telephone_number": "606-325-7955",
"fax_number": "606-325-9848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6272 COUNTY ROAD 107 STE B",
"city": "PROCTORVILLE",
"state": "OH",
"postal_code": "456699243",
"telephone_number": "740-867-2200",
"fax_number": "740-867-2203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNS",
"first_name": "HUNTER",
"middle_name": "WYATT",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-20",
"last_updated": "2024-04-07",
"certification_date": "2024-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT019311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Proctorville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.