Individual provider Active NPI

Nicholas Don Burch

  • Physical Therapist
  • Martin, TN
National Provider Identifier
1962312439
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT022462 Issued in OH
Practice address
134 Kennedy Dr Ste B
Martin, TN 38237-3310
Phone
(731) 588-3480
NPI assigned
Sep 8, 2026
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT022462 OH Primary

Addresses

NPPES NPI Registry

Primary practice location

134 Kennedy Dr Ste B
Martin, TN 38237-3310

Mailing address

6271 Firwood Rd
Mentor, OH 44060-2937
Phone (440) 591-4202

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 8, 2026.

{
    "created_epoch": "1788825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1962312439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6271 FIRWOOD RD",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440602937",
            "telephone_number": "440-591-4202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 KENNEDY DR STE B",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382373310",
            "telephone_number": "731-588-3480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURCH",
        "first_name": "NICHOLAS",
        "middle_name": "DON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-09-08",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT022462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.