Individual provider Active NPI

Thomas M Burke, PT

  • Physical Therapist
  • Saint Peters, MO
National Provider Identifier
1194759522
Registry record updated Oct 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
107124 Issued in MO
Practice address
104 Jungermann Rd
Suite F
Saint Peters, MO 63376-1608
Phone
(636) 926-2641
Fax
(636) 926-3385
NPI assigned
Jul 10, 2006
Last updated
Oct 27, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2009

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 107124 MO Primary

Addresses

Primary practice location

104 Jungermann Rd
Suite F
Saint Peters, MO 63376-1608

Mailing address

1050 Old Des Peres Rd
Suite 40
Saint Louis, MO 63131-1873
Phone (314) 821-0200

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
107124MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Physical Therapy, LLC Physical Therapist Past Accepting new patients
Missouri Central Physical Therapy, LLC Physical Therapist PastSince Jun 6, 2012 Accepting new patients
Rueschhoff Physical Therapy Inc Physical Therapist Past Accepting new patients
Central Missouri Physical Therapy LLC Physical Therapist Past Accepting new patients
Apex Physical Therapy, LLC Physical Therapist Past Accepting new patients
Rueschhoff Physical Therapy Inc Physical Therapist Past Accepting new patients

Organizations & group practices 6

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256601600000",
    "number": "1194759522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 OLD DES PERES RD",
            "address_2": "SUITE 40",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631311873",
            "telephone_number": "314-821-0200",
            "fax_number": "314-821-9976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 JUNGERMANN RD",
            "address_2": "SUITE F",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761608",
            "telephone_number": "636-926-2641",
            "fax_number": "636-926-3385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "THOMAS",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2009-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "107124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Peters, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2009; 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.