Megan Burke
Individual provider Active NPI Athletic Trainer · Estero, FL
NPI 1194130674 · NPPES record last updated Jun 24, 2014
Key facts
- NPI
- 1194130674
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- AL 3860 (FL)
- Practice address
- 20000 Barletta LN Unit 716
Estero, FL 33928-5600 - Phone
- (239) 287-6083
- NPI assigned
- Jun 24, 2014
- Sex
- Female
- 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 |
|---|---|---|---|
| AL 3860 | FL | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AL 3860 | FL | Yes |
Addresses
Primary practice location
20000 Barletta LN Unit 716
Estero, FL 33928-5600
Mailing address
20000 Barletta LN Unit 716
Estero, FL 33928-5600
Other providers in Estero, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2014. 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.