Burton R Reed, PT, OCS, FAAOMPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT28046 Issued in FL

Practice address

1720 SE 16TH Ave
Suite 302
Ocala, FL 34471-4620

Phone

(352) 512-0825

Fax

(352) 512-0826

NPI assigned

Jul 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in WV, FL2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mountain River Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Ocala, FL
  • NPI 1093053225

  FL, Physical Therapist

  Medicare reassignment NPD Authorized official
• Mountain River Physical Therapy Specialists LLC

  • Physical Therapy Clinic/Center
  • Ocala, FL
  • NPI 1528663283

  FL, Physical Therapist

  Medicare reassignment NPD Authorized official
• Mountain River Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Parkersburg, WV
  • NPI 1487668794

  WV

  Medicare reassignment Authorized official
• Mountain River Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Parkersburg, WV
  • NPI 1154555241
  NPD Authorized official
• Mountain River Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Parkersburg, WV
  • NPI 1376140210
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464307200000",
    "number": "1154337293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 36TH ST",
            "address_2": "SUITE 100",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261011005",
            "telephone_number": "304-917-3660",
            "fax_number": "304-917-3674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 SE 16TH AVE",
            "address_2": "SUITE 302",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344714620",
            "telephone_number": "352-512-0825",
            "fax_number": "352-512-0826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "BURTON",
        "middle_name": "R",
        "credential": "PT, OCS, FAAOMPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2016-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "001444",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT020396",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT 012836",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT28046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0300067000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016201500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00352735",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2702632",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Reddy
• Nagender A Reddy, M. D.
• Navya Reddy, MD
• Vishnu P Reddy, M. D.
• Rachel Suzanne Redman, M.D.
• Candace Kasubick Reed, RN
• Dalton Reed, PT
• Juddson Reed, DMD MS
• Kelly Mabel Reed, P.T.
• Leandra Reed

• All providers in Ocala, FL
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.