Zachariah James Burkhardt, ATC
Individual provider Active NPI Sports Medicine (Physical Medicine & Rehabilitation) Physician · Charlestown, IN
NPI 1043948615 · NPPES record last updated Aug 11, 2022
Key facts
- NPI
- 1043948615
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X
- License
- 36002913A (IN)
- Practice address
- 1 Pirate PL
Charlestown, IN 47111-1646 - Phone
- (941) 875-3361
- NPI assigned
- Aug 11, 2022
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36002913A | IN | MD | Sports Medicine (Physical Medicine & Rehabilitation) Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | 36002913A | IN | Yes |
Addresses
Primary practice location
1 Pirate PL
Charlestown, IN 47111-1646
Mailing address
8827 Woodford Dr
Charlestown, IN 47111-1046
Phone (941) 875-3361
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.baptisthealth.com/floyd/services/orthopedic-care/sports-medicine/meet-our-team | Direct |
Other providers in Charlestown, IN
- Heather Marie Brown
- Julie Brown
- Michael W Brumit
- Della D. Buege
- Elizabeth Ann Burbridge
- Capital Senior Living Properties 4, Inc.
- Camille Mae Carl
- Christin Carter
- Tavance Cary
- Laramie Cecil
All providers in Charlestown, IN · Sports Medicine (Physical Medicine & Rehabilitation) Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.