Paul Phillip Burgener, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT20482 Issued in FL

Practice address

156 NW California Blvd
Port St Lucie, FL 34986-2492

Phone

(772) 871-7170

NPI assigned

Dec 16, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthopaedic Center of Vero Beach P aGroup PAC ID 2668370131, 9 clinicians

Indian River Health Services IncGroup PAC ID 9234130329, 335 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

79.17 of 100Reported as group

Quality

58.26

Promoting interoperability

98

Improvement activities

40

Cost

73.98

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Interoperability endpoints

• Direct secure messaging: paul.burgener.1@448.direct.athenahealth.com

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

• Orthopaedic Center of Vero Beach P a

  • Orthopaedic Surgery Physician
  • Vero Beach, FL
  • NPI 1891795662
  Medicare reassignment Care Compare group NPD
• Indian River Health Services Inc

  • Psychiatry Physician
  • Vero Beach, FL
  • NPI 1710933031
  Medicare reassignment Care Compare group
• Orthopaedic Center of Vero Beach P a

  • Durable Medical Equipment & Medical Supplies
  • Fort Pierce, FL
  • NPI 1407233661
  NPD

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

{
    "created_epoch": "1355616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355616000000",
    "number": "1053657288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 NW CALIFORNIA BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349862492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 NW CALIFORNIA BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349862492",
            "telephone_number": "772-871-7170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGENER",
        "first_name": "PAUL",
        "middle_name": "PHILLIP",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-16",
        "last_updated": "2012-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT20482",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT007594",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luden Bunch
• Stacy Adelle Burch, RBT
• Shannon Marie Burdick, RDH
• Melinda Burdiss, PTA
• Tania Burey McLean, ARNP
• Jennifer Burgess, ARNP
• Jessica Burgos, RN
• Vanessa Alessandra Burgos, ARNP, FNP-C
• Haley Burke
• Kylie Nicole Burke I, BA

• Physical Therapist in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2012; 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.