John Maxwell Isenhour-Burlake

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

1601 E Basin Ave Ste 303
Pahrump, NV 89060-4612

Phone

(775) 537-8898

NPI assigned

Nov 9, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1215693775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 RODEO AVE",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890487045",
            "telephone_number": "775-513-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E BASIN AVE STE 303",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890604612",
            "telephone_number": "775-537-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISENHOUR-BURLAKE",
        "first_name": "JOHN",
        "middle_name": "MAXWELL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-09",
        "last_updated": "2021-11-09",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Independent Medical Group, LLC
• Mariela Iniquez
• Nancy Ann Inman, PA-C
• Integrated Multi Specialty Medical Group
• Integrity Taxi, LLC
• J H Daulat DO PC
• Jackson Health and Theater
• Diane Jackson
• Gerald Michael Jackson, PT
• Ruby Angela Jametsky

• Rehabilitation Practitioner in Pahrump, NV
• Providers in Pahrump, NV by specialty
• Rehabilitation Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.