IndividualActive
Timothy Burgess, PT
NPI 1982940078 · Physical Therapist · Granite City, IL
Provider details
- NPI number
- 1982940078
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 070007117 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2100 Madison Ave
Granite City, IL 62040-4701
Phone: (618) 798-3000
Street-level locationGet directions
Mailing address
1995 Mapleleaf Dr
Collinsville, IL 62234-5267
Registry dates
- Enumerated
- 2012-12-18
- Last updated
- 2012-12-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.