Active NPI
Emily Michelle Burdette, PT,DPT
- Physical Therapist
- Prattville, AL
National Provider Identifier
1154670925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH6460
- Practice address
- 635 McQueen Smith Rd N Ste D
Prattville, AL 36066-5663 - Phone
- (334) 358-6501
- Fax
- (334) 358-6521
- NPI assigned
- Sep 7, 2012
- Sex
- Female
- 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 | PTH6460 | AL | Primary |
Addresses
Primary practice location
635 McQueen Smith Rd N Ste D
Prattville, AL 36066-5663
Mailing address
635 McQueen Smith Rd N Ste D
Prattville, AL 36066-5663
Phone (334) 358-6501
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTH6460 | AL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346976000000",
"number": "1154670925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "635 MCQUEEN SMITH RD N STE D",
"city": "PRATTVILLE",
"state": "AL",
"postal_code": "360665663",
"telephone_number": "334-358-6501",
"fax_number": "334-358-6521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "635 MCQUEEN SMITH RD N STE D",
"city": "PRATTVILLE",
"state": "AL",
"postal_code": "360665663",
"telephone_number": "334-358-6501",
"fax_number": "334-358-6521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURDETTE",
"first_name": "EMILY",
"middle_name": "MICHELLE",
"credential": "PT,DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-07",
"last_updated": "2012-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH6460",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prattville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.