Active NPI
Nicholas Don Burch
- Physical Therapist
- Martin, TN
National Provider Identifier
1962312439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT022462
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT022462 | OH | Primary |
Addresses
NPPES NPI RegistryPrimary 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.