Individual provider Active NPI

Janet Leigh Burbridge, PT, MS

  • Physical Therapist
  • Marion, IA
National Provider Identifier
1205930716
Registry record updated Apr 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
02057 Issued in IA
Practice address
999 44TH St
Suite 10,000
Marion, IA 52302-3846
Phone
(319) 373-7311
Fax
(319) 373-7313
NPI assigned
Sep 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2013

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 02057 IA Primary

Addresses

Primary practice location

999 44TH St
Suite 10,000
Marion, IA 52302-3846

Mailing address

999 44TH St
Suite 10,000
Marion, IA 52302-3846
Phone (319) 373-7311

Other identifiers 2

IdentifierTypeStateIssuer
0209510MedicaidIA
17428OtherIABLUE CROSS/BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101216000708 IA Practitioner - Physical Therapist in Private Practice 9436347507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Iowa, RJ & L Carver College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ability Physical Therapy PCGroup PAC ID 1153313986, 13 clinicians

Practice addresses (Care Compare)

999 44TH St
Suite 10000
Marion, IA 52302-3833
Phone (319) 373-7311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Ability Physical Therapy, P.C. Physical Therapist CurrentSince Apr 10, 2010 Accepting new patients

Locations

4215 Lewis Access Rd
Ste 300
Center Point, IA 52213
Phone (319) 849-2062

999 44th St
Ste 10000
Marion, IA 52302
Phone (319) 373-7311

300 Virgil Ave
Ste C
Mount Vernon, IA 52314
Phone (319) 895-8655

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367193600000",
    "number": "1205930716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 44TH ST",
            "address_2": "SUITE 10,000",
            "city": "MARION",
            "state": "IA",
            "postal_code": "523023846",
            "telephone_number": "319-373-7311",
            "fax_number": "319-373-7313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 44TH ST",
            "address_2": "SUITE 10,000",
            "city": "MARION",
            "state": "IA",
            "postal_code": "523023846",
            "telephone_number": "319-373-7311",
            "fax_number": "319-373-7313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURBRIDGE",
        "first_name": "JANET",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "PT, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2013-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "02057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0209510",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "17428",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; 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.