NPIMap

Individual provider Active NPI

Burton R Reed, PT, OCS, FAAOMPT

  • Physical Therapist
  • Ocala, FL
National Provider Identifier
1154337293
Registry record updated May 27, 2016
On this page

Key facts

NPPES NPI Registry
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
Last updated
May 27, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 001444 WV
Physical Therapist 225100000X PT020396 PA
Physical Therapist 225100000X PT 012836 OH
Physical Therapist 225100000X PT28046 FL Primary

Addresses

Primary practice location

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

Mailing address

415 36TH St
Suite 100
Parkersburg, WV 26101-1005
Phone (304) 917-3660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050720000448 WV Practitioner - Physical Therapist in Private Practice 9638150923 Reassigns benefits to 1 organization
I20140327000869 FL Practitioner - Physical Therapist in Private Practice 9638150923 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 012836OHMDPhysical Therapist
PT020396PAMDPhysical Therapist
001444WVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain River Physical Therapy LLC Physical Therapist CurrentSince Oct 1, 2013 Accepting new patients
Mountain River Physical Therapy LLC CurrentSince Aug 1, 2005 Accepting new patients
Mountain River Physical Therapy Specialists LLC Physical Therapist CurrentSince Nov 16, 2020 Accepting new patients
Mountain River Physical Therapy, LLC Past Accepting new patients

Locations

1720 SE 16th Ave
Ocala, FL 34471
Phone (352) 512-0825

1720 SE 16th Ave
Ste 302
Ocala, FL 34471
Phone (352) 512-0825

2101 E State St
Ste C
Athens, OH 45701
Phone (740) 593-6778

1212 Garfield Ave
Ste 200
Parkersburg, WV 26101
Phone (304) 865-2778

415 36th St
Ste 100
Parkersburg, WV 26101
Phone (304) 917-3660

841 Commerce St
Wellsburg, WV 26070
Phone (304) 737-0437

Organizations & group practices 20

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.

View all 20

NPI Registry JSON

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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • 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.