MEDICARE: EVELYNE VANITHA BURTIS MSPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3156797	OTHER	TN	BCBST - GROUP NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639125180
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EVELYNE VANITHA BURTIS MSPT

Provider Business Mailing Address
First Line	:	8823 PRODUCTION LN
Second Line	:
City	:	OOLTEWAH
State	:	TN
Zip	:	37363-6511
Country	:	US
Telephone Number	:	423-238-7217
Fax Number	:	423-238-3473

Provider Business Practice Location Address
First Line	:	1467 N MACK SMITH RD
Second Line	:
City	:	EAST RIDGE
State	:	TN
Zip	:	37412-3947
Country	:	US
Telephone Number	:	423-894-4403
Fax Number	:	423-894-4513

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/26/2006
Last Update Date	:	02/27/2008

Similar Medicare Providers

1003854357 — KIMBERLY SUE STRICKLAND DPT
Practice Location Address:

1467 N MACK SMITH RD
EAST RIDGE, TN
37412-3947

Practice Phone: 423-894-4403
Practice Fax: 423-894-4513

1184637803 — DR. RUTH A NIELSON DC
Practice Location Address:

1471 N MACK SMITH RD
EAST RIDGE, TN
37412-3947

Practice Phone: 423-485-8480
Practice Fax:

1811196413 — DAVID GRANT BROGDON D.C.
Practice Location Address:

1471 N MACK SMITH RD
EAST RIDGE, TN
37412-3947

Practice Phone: 423-485-8480
Practice Fax: 423-485-8481

1710154406 — INDEPENDENT PHYSICAL THERAPY LLC
Practice Location Address:

1467 N MACK SMITH RD
EAST RIDGE, TN
37412-3947

Practice Phone: 423-894-4403
Practice Fax: 423-894-4513

1174835086 — LINDSAY ROBINSON DPT
Practice Location Address:

1467 N MACK SMITH RD
EAST RIDGE, TN
37412-3947

Practice Phone: 423-894-4403
Practice Fax: 423-894-4513

1588979298 — BENCHMARK HEALTHCARE SERVICES LLC
Practice Location Address:

1467 N MACK SMITH RD
EAST RIDGE, TN
37412-3947

Practice Phone: 423-894-4403
Practice Fax: 423-894-4513

Directions to “ EVELYNE VANITHA BURTIS MSPT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.