Active NPI
Rheena Nieto Burkhardt, DPT, OCS
- Physical Therapist
- Irvine, CA
National Provider Identifier
1073622734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 24551
- Practice address
- 1124 Main St
Suite C
Irvine, CA 92614-6760 - Phone
- (949) 553-8853
- Fax
- (949) 553-8883
- NPI assigned
- Aug 29, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 24551 | CA | Primary |
Addresses
Primary practice location
1124 Main St
Suite C
Irvine, CA 92614-6760
Mailing address
PO Box 6356
Irvine, CA 92616-6356
Phone (949) 553-8853
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1124 Main St
Suite C
Irvine, CA 92614-6758
Phone (949) 553-8853
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 24551 | CA | MD | Physical Therapist |
| 24551 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Well Balanced Body Inc | Current | Accepting new patients |
Locations
1124 Main St
Ste C
Irvine, CA 92614
Phone (949) 553-8853
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Irvine, CA
- NPI 1548416829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219017600000",
"number": "1073622734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6356",
"city": "IRVINE",
"state": "CA",
"postal_code": "926166356",
"telephone_number": "949-553-8853",
"fax_number": "949-553-8883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1124 MAIN ST",
"address_2": "SUITE C",
"city": "IRVINE",
"state": "CA",
"postal_code": "926146760",
"telephone_number": "949-553-8853",
"fax_number": "949-553-8883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKHARDT",
"first_name": "RHEENA",
"middle_name": "NIETO",
"name_prefix": "Mrs.",
"credential": "DPT, OCS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-29",
"last_updated": "2008-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 24551",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; 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.