Active NPI
James Edward Ruguian Burlat, PT
- Physical Therapist
- Rye Brook, NY
National Provider Identifier
1114076916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0258351
- Practice address
- 1200 King St
Rye Brook, NY 10573-7000 - Phone
- (917) 864-7706
- NPI assigned
- Jan 9, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 0258351 | NY | Primary |
Addresses
Primary practice location
1200 King St
Rye Brook, NY 10573-7000
Mailing address
8498 Homelawn St
Jamaica, NY 11432-2153
Phone (718) 297-3797
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 |
|---|---|---|---|
| 025835 | NY | MD | Psychologist |
| 0258351 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Therapeutics Physical Therapy PLLC | Physical Therapist | Past | Accepting new patients |
| Healing Therapeutics Physical Therapy Part A, PLLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- Port Chester, NY
- NPI 1396057881
-
- Physical Therapist
- Port Chester, NY
- NPI 1144217415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114076916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8498 HOMELAWN ST",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114322153",
"telephone_number": "718-297-3797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 KING ST",
"city": "RYE BROOK",
"state": "NY",
"postal_code": "105737000",
"telephone_number": "917-864-7706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURLAT",
"first_name": "JAMES EDWARD",
"middle_name": "RUGUIAN",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "0258351",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rye Brook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.