Jesse Edward Burden, P.T.A.

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

0117005352 Issued in VA

Practice address

806 Zircon CT
Virginia Beach, VA 23462-1186

Phone

(757) 215-6836

NPI assigned

Jun 6, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205039328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 ZIRCON CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234621186",
            "telephone_number": "757-215-6836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 ZIRCON CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234621186",
            "telephone_number": "757-215-6836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURDEN",
        "first_name": "JESSE",
        "middle_name": "EDWARD",
        "credential": "P.T.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "PTA002323",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "0117005352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Bura, LPC, CSAC
• Donnell Burch
• Shannon N Burch, NP
• Tiffany Burchette
• Anson J Burden
• Runiqa Eugenia Burden
• Megan Ocie Burgan, LCSW
• Donna Gail Burger, COTA
• Gladylu Burgos Lugo, MSW
• Chelsea Burkart, R.D., C.S.S.D.

• Physical Therapy Assistant in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Physical Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.