Joseph Gerard Burns, PT
Individual provider Active NPI Physical Therapist · Eureka, IL
NPI 1194066522 · NPPES record last updated Mar 11, 2013
Key facts
- NPI
- 1194066522
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 070015471 (IL)
- Practice address
- 1011 Redbud LN
Eureka, IL 61530-9780 - Phone
- (309) 339-1719
- NPI assigned
- Mar 11, 2013
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070015471 | IL | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070015471 | IL | Yes |
Addresses
Primary practice location
1011 Redbud LN
Eureka, IL 61530-9780
Mailing address
1011 Redbud LN
Eureka, IL 61530-9780
Phone (309) 339-1719
Other providers in Eureka, IL
- Michael Stephen Borzello
- Amy Braman
- Tamra Brisbin
- Bromenn Healthcare, Inc.
- Bromenn Physicians Management Corporation
- Carle Eureka Hospital
- Carle Eureka Hospital
- Carle Eureka Hospital
- Jason Collins
- County of Woodford Eureka Congerville Goodfld Dist 140
All providers in Eureka, IL · Physical Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.