Individual provider Active NPI

Courtney Michelle Burbrink, DPT, PT

  • Physical Therapist
  • West Chester, OH
National Provider Identifier
1215666292
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT019848 Issued in OH
Practice address
7200 Heritagespring Dr
West Chester, OH 45069-6524
Phone
(513) 342-8304
NPI assigned
Jun 6, 2022
Last updated
Nov 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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 PT019848 OH Primary

Addresses

Primary practice location

7200 Heritagespring Dr
West Chester, OH 45069-6524

Mailing address

8153 Maywood Dr
Cincinnati, OH 45241-1444

Other practice location 1

2961 Spring Valley Rd
Miamisburg, OH 45342-4450
Phone (937) 291-1100

Other names 1

  • Courtney Barker Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221130001511 OH Practitioner - Physical Therapist in Private Practice 2264800911 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

2961 Spring Valley Rd
Miamisburg, OH 45342-4450
Phone (937) 999-4112

4303 Trueman Blvd
Hilliard, OH 43026-2631
Phone (614) 319-3305

5373 Merten Dr
Mason, OH 45040-9510
Phone (513) 701-9081

7047 Hamilton Mason Rd
West Chester, OH 45069-1424
Phone (513) 847-1546

7200 Heritagespring Dr
West Chester, OH 45069-6524
Phone (513) 342-1966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services Inc Physical Therapist CurrentSince Jul 7, 2022 Accepting new patients
Legacy Healthcare Services Inc Physical Therapist CurrentSince Jul 7, 2022 Accepting new patients

Locations

110 Horizon Dr
#310
Raleigh, NC 27615

2961 Spring Valley Rd
Miamisburg, OH 45342
Phone (937) 291-1100

7200 Heritagespring Dr
West Chester, OH 45069
Phone (513) 342-1966

Organizations & group practices 2

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": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1215666292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8153 MAYWOOD DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452411444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 HERITAGESPRING DR",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450696524",
            "telephone_number": "513-342-8304"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2961 Spring Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Miamisburg",
            "state": "OH",
            "postal_code": "453424450",
            "country_code": "US",
            "telephone_number": "937-291-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURBRINK",
        "first_name": "COURTNEY",
        "middle_name": "MICHELLE",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT019848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "BARKER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Chester, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.