Individual provider Active NPI

Michael J Burggraaf, PT MS

  • Physical Therapist
  • Adel, IA
National Provider Identifier
1003818691
Registry record updated Sep 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3285 Issued in IA
Practice address
516 Nile Kinnick Dr. South
Ste B
Adel, IA 50003-1831
Phone
(515) 993-5599
Fax
(515) 993-1964
NPI assigned
Aug 12, 2005
Last updated
Sep 28, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 03285 IA
Physical Therapist 225100000X 3285 IA Primary

Addresses

Primary practice location

516 Nile Kinnick Dr. South
Ste B
Adel, IA 50003-1831

Mailing address

2001 Westown Pkwy
Ste 107
West Des Moines, IA 50265-1540
Phone (515) 440-3439

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040719000701 IA Practitioner - Physical Therapist in Private Practice 1052390416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Core Physical Therapy IncGroup PAC ID 8123034436, 17 clinicians

Practice addresses (Care Compare)

1200 Valley W Dr
Suite 300
West Des Moines, IA 50266-1904
Phone (515) 440-3439

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
3285IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Core Physical Therapy Inc Physical Therapist CurrentSince Mar 1, 2006 Accepting new patients
Des Moines University Osteopathic Medical Center Physical Therapist Past Accepting new patients
Adel Physical Therapy, Inc Physical Therapist Past Accepting new patients
Allergy Institute, P.C. PastSince Oct 1, 2023 Accepting new patients

Locations

102 S 7th St
Adel, IA 50003
Phone (515) 993-5599

516 Nile Kinnick Dr S
Ste B
Adel, IA 50003
Phone (515) 478-7171

1200 Valley West Dr
Ste 300
West Des Moines, IA 50266
Phone (515) 440-3439

2001 Westown Pkwy
Ste 107
West Des Moines, IA 50265
Phone (515) 223-8622

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285632000000",
    "number": "1003818691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 WESTOWN PKWY",
            "address_2": "STE 107",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502651540",
            "telephone_number": "515-440-3439",
            "fax_number": "515-440-3832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 NILE KINNICK DR. SOUTH",
            "address_2": "STE B",
            "city": "ADEL",
            "state": "IA",
            "postal_code": "500031831",
            "telephone_number": "515-993-5599",
            "fax_number": "515-993-1964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGGRAAF",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "PT MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2010-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "03285",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "3285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Adel, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.