Individual provider Active NPI

James Edward Ruguian Burlat, PT

  • Physical Therapist
  • Rye Brook, NY
National Provider Identifier
1114076916
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0258351 Issued in NY
Practice address
1200 King St
Rye Brook, NY 10573-7000
Phone
(917) 864-7706
NPI assigned
Jan 9, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
025835NYMDPsychologist
0258351NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Therapeutics Physical Therapy PLLC Physical Therapist PastSince Jun 15, 2012 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.

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.

Verify at the official NPI Registry.