NPIMap

Organization Active NPI

Burd Physical Therapy PLLC

  • Physical Therapist
  • Rochester, NY
National Provider Identifier
1073079588
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
BURD PHYSICAL THERAPY PLLC
Practice address
3070 Monroe Ave
Rochester, NY 14618-4604
Phone
(585) 300-4333
Fax
(585) 445-7327
NPI assigned
Feb 20, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Authorized official

Name
Chelsea L Burdick, PTNPI 1790275121
Title
Owner
Phone
(585) 300-4333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

3070 Monroe Ave
Rochester, NY 14618-4604

Mailing address

3070 Monroe Ave
Rochester, NY 14618-4604
Phone (585) 300-4333

Other practice location 1

650 Whitney Rd W
Fairport, NY 14450-1075
Phone (585) 300-4333

Other identifiers 1

IdentifierTypeStateIssuer
06134138MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190605003126 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5294068268 Receives reassigned benefits from 13 practitioners
Practice locations: Fairport, NY; Rochester, NY

National Provider Directory

National Provider Directory

Locations

650 Whitney Rd W
Ste J
Fairport, NY 14450
Phone (585) 300-4333

650 Whitney Rd W
Fairport, NY 14450
Phone (585) 300-4333

3070 Monroe Ave
Rochester, NY 14618
Phone (585) 300-4333

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675123200000",
    "number": "1073079588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3070 MONROE AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146184604",
            "telephone_number": "585-300-4333",
            "fax_number": "585-445-7327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3070 MONROE AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146184604",
            "telephone_number": "585-300-4333",
            "fax_number": "585-445-7327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 Whitney Rd W",
            "address_purpose": "LOCATION",
            "city": "Fairport",
            "state": "NY",
            "postal_code": "144501075",
            "country_code": "US",
            "telephone_number": "585-300-4333",
            "fax_number": "585-454-8237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BURD PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-20",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A",
        "authorized_official_last_name": "BURDICK",
        "authorized_official_first_name": "CHELSEA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-300-4333",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06134138",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.