Active NPI
Lucas Burg, DPT
- Physical Therapist
- Lewistown, MT
National Provider Identifier
1013625359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTP-PT-LIC-24663
- Practice address
- 186 Snow Goose Rd
Lewistown, MT 59457-7692 - Phone
- (406) 366-4210
- NPI assigned
- Nov 7, 2022
- Last updated
- Nov 7, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTP-PT-LIC-24663 | MT | Primary |
Addresses
Primary practice location
186 Snow Goose Rd
Lewistown, MT 59457-7692
Mailing address
186 Snow Goose Rd
Lewistown, MT 59457-7692
Phone (406) 366-4210
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTP-PT-LIC-24663 | MT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667779200000",
"number": "1013625359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "186 SNOW GOOSE RD",
"city": "LEWISTOWN",
"state": "MT",
"postal_code": "594577692",
"telephone_number": "406-366-4210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "186 SNOW GOOSE RD",
"city": "LEWISTOWN",
"state": "MT",
"postal_code": "594577692",
"telephone_number": "406-366-4210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURG",
"first_name": "LUCAS",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-11-07",
"last_updated": "2022-11-07",
"certification_date": "2022-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MT",
"license": "PTP-PT-LIC-24663",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lewistown, MT
- Breaks Medical Center
- Breaks Medical Partners Company (Breaks Medical Center)
- Mackenzie Brown, MS CF-SLP
- Buffalo Springs Rehabilitation and Nursing LLC (Buffalo Springs Rehabilitation and Nursing)
- Ty Allison Bullard, MED.
- Nyla Jean Bush, LMT
- Katherine G Calovis, LAC
- Pattie Carr, RD
- Alicia Mae Case, PT
- Adrienne Castillo, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.