Patrick C Burke

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA011124 Issued in OH

Practice address

3548 Fenley Rd
Cleveland Heights, OH 44121-1346

Phone

(513) 254-3960

NPI assigned

Jan 24, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Cultural Images Book Vendors, LLC

  • Family Nurse Practitioner
  • Cleveland Heights, OH
  • NPI 1003324971
  NPD (past)

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

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516752000000",
    "number": "1174021141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3548 FENLEY RD",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441211346",
            "telephone_number": "513-254-3960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3548 FENLEY RD",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441211346",
            "telephone_number": "513-254-3960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "PATRICK",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-24",
        "last_updated": "2018-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "PTA011124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara Suzette Bryson, REGISTERED NURSE
• Pamela D Buckingham
• Robert Bufford Jr.
• Christie Lynn Bunch, LSW,LICDC
• Derick Burke
• Latasha Burns
• Ryan Shepard Busch, M.D.
• Donetha Bush Dinkins
• Alicia Butler
• Gerri Tobytha Byrd, M.D.

• Physical Therapy Assistant in Cleveland Heights, OH
• Providers in Cleveland Heights, OH by specialty
• Physical Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; 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.