Active NPI
Abigail Dawn Burk, L.M.T.
- Massage Therapist
- Springfield, OH
National Provider Identifier
1053552554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 33.015250
- Practice address
- 297 Ra Mar Dr
Springfield, OH 45502-9469 - Phone
- (937) 605-1259
- NPI assigned
- Mar 12, 2009
- Last updated
- Jun 2, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 33.015250 | OH | Primary |
Addresses
Primary practice location
297 Ra Mar Dr
Springfield, OH 45502-9469
Mailing address
297 Ra Mar Dr
Springfield, OH 45502-9469
Phone (937) 605-1259
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 |
|---|---|---|---|
| 33.015250 | OH | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scod Anesthesia, LLC | Current | Accepting new patients | |
| Surgery Center of Dayton, LLC | Current | Accepting new patients |
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Dayton, OH
- NPI 1174382576
-
- Ambulatory Surgical Clinic/Center
- Dayton, OH
- NPI 1912780172
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433203200000",
"number": "1053552554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "297 RA MAR DR",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455029469",
"telephone_number": "937-605-1259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "297 RA MAR DR",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455029469",
"telephone_number": "937-605-1259"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURK",
"first_name": "ABIGAIL",
"middle_name": "DAWN",
"credential": "L.M.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-12",
"last_updated": "2015-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OH",
"license": "33.015250",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.