Individual provider Active NPI

Lance Burk, DPT

  • Physical Therapist
  • Saint Marys, GA
National Provider Identifier
1043942881
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT017453 Issued in GA
Practice address
100 Lindsey LN Ste a
Saint Marys, GA 31558-1727
Phone
(912) 729-5259
NPI assigned
Jun 29, 2022
Last updated
Dec 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP051435T KY
Physical Therapist 225100000X PT017453 GA Primary
Physical Therapist 225100000X 29081 MD

Addresses

Primary practice location

100 Lindsey LN Ste a
Saint Marys, GA 31558-1727

Mailing address

40845 Merchants LN
Leonardtown, MD 20650-3767
Phone (240) 530-8188

Other practice location 1

40845 Merchants Ln
Leonardtown, MD 20650-3767
Phone (240) 530-8188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, GA, KY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20221025000082 MD Practitioner - Physical Therapist in Private Practice 2264808799 Reassigns benefits to 2 organizations
I20250401001317 GA Practitioner - Physical Therapist in Private Practice 2264808799 Reassigns benefits to 1 organization
I20260113001482 KY Practitioner - Physical Therapist in Private Practice 2264808799 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SN Kentuckiana Rehab, LLCGroup PAC ID 1254671464, 339 clinicians

Practice addresses (Care Compare)

12613 Taylorsville Rd
Suite 118
Louisville, KY 40299-5496
Phone (502) 267-1480

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP051435TKYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC CurrentSince Aug 8, 2022 Accepting new patients
Advance Rehabilitation & Consulting Limited Partnership Physical Therapist CurrentSince Nov 8, 2024 Accepting new patients
Advance Rehabilitation & Consulting Limited Partnership Physical Therapist CurrentSince Nov 8, 2024 Accepting new patients
Sage Physical Therapy & Wellness LLC Physical Therapist CurrentSince Aug 1, 2024 Accepting new patients
SN Kentuckiana Rehab, LLC CurrentSince Jan 5, 2026 Accepting new patients
Centers for Advanced Orthopaedics, LLC Current Accepting new patients
SN Kentuckiana Rehab, LLC CurrentSince Jan 5, 2026 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Aug 8, 2022 Accepting new patients

Locations

1000 Johnson Ferry Rd
Ste A115
Marietta, GA 30068
Phone (404) 367-2085

224 Shorter Ave NW
Rome, GA 30165
Phone (706) 235-2727

100 Lindsey Ln
Ste A
Saint Marys, GA 31558
Phone (912) 729-1333

12613 Taylorsville Rd
Ste 118
Louisville, KY 40299
Phone (502) 267-1480

210 E Gray St
Ste 807
Louisville, KY 40202
Phone (502) 587-9350

6707 Democracy Blvd
Ste 504
Bethesda, MD 20817
Phone (301) 637-8712

309 Sunburst Hwy
Ste 7
Cambridge, MD 21613
Phone (410) 221-7576

86 Thomas Johnson Ct
Frederick, MD 21702
Phone (301) 607-0444

40845 Merchants Ln
Leonardtown, MD 20650
Phone (240) 530-8188

3536A Urbana Pike
Urbana, MD 21704
Phone (301) 874-9200

11340 Pembrooke Sq
Ste 211
Waldorf, MD 20603
Phone (240) 530-8188

Organizations & group practices 9

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": "1656460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766102400000",
    "number": "1043942881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40845 MERCHANTS LN",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206503767",
            "telephone_number": "240-530-8188",
            "fax_number": "301-638-0470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LINDSEY LN STE A",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315581727",
            "telephone_number": "912-729-5259"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40845 Merchants Ln",
            "address_purpose": "LOCATION",
            "city": "Leonardtown",
            "state": "MD",
            "postal_code": "206503767",
            "country_code": "US",
            "telephone_number": "240-530-8188",
            "fax_number": "301-638-0470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURK",
        "first_name": "LANCE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-29",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "CP051435T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT017453",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "29081",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Marys, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2025; 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.