Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Thomas Pepper Burruss, PTATC

Individual provider Athletic Trainer · NPI 1881722072

Mr. Thomas Pepper Burruss, PTATC is an Athletic Trainer in Green Bay, Wisconsin. Practices as a sole proprietor. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

1265 Lombardi Ave
Green Bay, WI 54304-3927
Phone: (920) 569-7500
Fax: (920) 569-7803
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1881722072
Entity typeIndividual (Type 1)
GenderMale
Credentials PTATC
Sole proprietorYes
NPI enumeratedMarch 1, 2007
Last updated in NPPESJuly 8, 2007

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