Individual provider Active NPI

Victoria Burke

  • Physical Therapist
  • Ardmore, PA
National Provider Identifier
1184437899
Registry record updated May 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT033520 Issued in PA
Practice address
233 E Lancaster Ave Ste 100
Ardmore, PA 19003-2321
Phone
(610) 642-4494
NPI assigned
Jan 28, 2025
Last updated
May 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2025

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 PT033520 PA Primary

Addresses

Primary practice location

233 E Lancaster Ave Ste 100
Ardmore, PA 19003-2321

Mailing address

163 Quenby Mountain Rd
Great Meadows, NJ 07838-2205
Phone (908) 637-8295

Other practice location 1

100 Presidential Blvd
Bala Cynwyd, PA 19004-1108
Phone (610) 668-0904

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260519004815 PA Practitioner - Physical Therapist in Private Practice 4880163799 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1192 W Penn Ave
Suite a
Womelsdorf, PA 19567-9702
Phone (610) 589-2263

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT033520PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabclinics Galaxy Inc PastSince Feb 2, 2025 Accepting new patients
Rehabclinics SPT, Inc. PastSince Feb 2, 2025 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1738022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746835200000",
    "number": "1184437899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 QUENBY MOUNTAIN RD",
            "city": "GREAT MEADOWS",
            "state": "NJ",
            "postal_code": "078382205",
            "telephone_number": "908-637-8295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 E LANCASTER AVE STE 100",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190032321",
            "telephone_number": "610-642-4494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Presidential Blvd",
            "address_purpose": "LOCATION",
            "city": "Bala Cynwyd",
            "state": "PA",
            "postal_code": "190041108",
            "country_code": "US",
            "telephone_number": "610-668-0904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURKE",
        "first_name": "VICTORIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-28",
        "last_updated": "2025-05-10",
        "certification_date": "2025-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT033520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.