Dieadra Burmingham, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11-02308 Issued in KS

Practice address

325 Maine St
Lawrence, KS 66044-1360

Phone

(785) 505-2712

Fax

(785) 505-2889

NPI assigned

Jun 1, 2012

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

• Dea Burmingham Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 1, 2012.

{
    "created_epoch": "1338508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338508800000",
    "number": "1093076499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1488 N 600TH RD",
            "city": "BALDWIN CITY",
            "state": "KS",
            "postal_code": "660067258",
            "telephone_number": "785-608-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 MAINE ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660441360",
            "telephone_number": "785-505-2712",
            "fax_number": "785-505-2889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURMINGHAM",
        "first_name": "DIEADRA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-01",
        "last_updated": "2012-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-02308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEA",
            "last_name": "BURMINGHAM",
            "credential": "PT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jill S Burgen, APRN
• Brittany Burgess
• Jeffrey A Burgess, LPC
• Brittany Burkett, APRN
• Savannah Burks, ATC
• Anna Burnett
• Sally Burns
• Vance Reid Burns, M.D.
• Nancylee Burt, ARNP
• Ronald J Burt, MD

• All providers in Lawrence, KS
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.