Active NPI
Jennifer Burch, MPT
- Pediatric Physical Therapist
- Cutler Bay, FL
National Provider Identifier
1083853949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- PT17800
- Practice address
- 8620 SW 184TH Ter
Cutler Bay, FL 33157-7236 - Phone
- (305) 967-0605
- NPI assigned
- Feb 16, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | PT17800 | FL | Primary |
| Pediatric Physical Therapist | 2251P0200X | PT 17800 | FL |
Addresses
Primary practice location
8620 SW 184TH Ter
Cutler Bay, FL 33157-7236
Mailing address
8620 SW 184TH Ter
Cutler Bay, FL 33157-7236
Phone (305) 967-0605
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 17800 | FL | MD | Pediatric Physical Therapist |
| PT17800 | FL | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Developmental Therapy Associates | Pediatrics | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425859200000",
"number": "1083853949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8620 SW 184TH TER",
"city": "CUTLER BAY",
"state": "FL",
"postal_code": "331577236",
"telephone_number": "305-967-0605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8620 SW 184TH TER",
"city": "CUTLER BAY",
"state": "FL",
"postal_code": "331577236",
"telephone_number": "305-967-0605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURCH",
"first_name": "JENNIFER",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-16",
"last_updated": "2015-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "FL",
"license": "PT17800",
"primary": true
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "FL",
"license": "PT 17800",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cutler Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.