Individual provider Active NPI

Daniel Burke, DPT

  • Physical Therapist
  • Bowling Green, OH
National Provider Identifier
1124696950
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT019302 Issued in OH
Practice address
1069 Klotz Rd Ste a
Bowling Green, OH 43402-4832
Phone
(419) 728-0110
Fax
(419) 728-0113
NPI assigned
Jun 17, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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 PT019302 OH Primary

Addresses

Primary practice location

1069 Klotz Rd Ste a
Bowling Green, OH 43402-4832

Mailing address

1069 Klotz Rd Ste a
Bowling Green, OH 43402-4832
Phone (419) 728-0110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Toledo College of Medicine, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7595 County Rd
Suite 236
Findlay, OH 45840

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT019302OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Ohio Orthopedics and Sports Medicine, Inc Physical Therapist CurrentSince Jun 22, 2021 Accepting new patients
Northwest Ohio Orthopedics and Sports Medicine, Inc CurrentSince Jun 22, 2021 Accepting new patients

Locations

1069 Klotz Rd
Bowling Green, OH 43402
Phone (419) 353-3759

1069 Klotz Rd
Ste A
Bowling Green, OH 43402
Phone (419) 724-8368

7595 County Road 236
Findlay, OH 45840
Phone (419) 427-3104

5750 Alexis Rd
Sylvania, OH 43560
Phone (419) 824-0300

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1124696950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1069 KLOTZ RD STE A",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434024832",
            "telephone_number": "419-728-0110",
            "fax_number": "419-728-0113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1069 KLOTZ RD STE A",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434024832",
            "telephone_number": "419-728-0110",
            "fax_number": "419-728-0113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-17",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT019302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.