Active NPI
Victoria R Burroughs, PT, DPT
- Physical Therapist
- St George, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7350599-2401
- Practice address
- 652 S Medical Center Dr # LL-10
Saint George, UT 84790-7017 - Phone
- (435) 251-2250
- NPI assigned
- Oct 13, 2011
- Last updated
- May 15, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 7350599-2401 | UT | Primary |
Addresses
Primary practice location
652 S Medical Center Dr # LL-10
Saint George, UT 84790-7017
Mailing address
652 S Medical Center Dr # LL-10
Saint George, UT 84790-7017
Phone (435) 251-2250
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1950 E Fort Union Blvd
Suite 2
Salt Lake City, UT 84121-6894
Phone (801) 943-1041
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain Land Rehabilitation LLC | Physical Therapist | Current | Accepting new patients |
Locations
1950 E Fort Union Blvd
Ste 2
Salt Lake City, UT 84121
Phone (801) 943-1041
1664 S Dixie Dr
Ste L105
St George, UT 84770
Phone (435) 652-3707
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.
-
- Physical Therapist
- Salt Lake City, UT
- NPI 1265549372
-
- Physical Therapist
- Sandy, UT
- NPI 1477582633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715731200000",
"number": "1225313976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "652 S MEDICAL CENTER DR # LL-10",
"city": "SAINT GEORGE",
"state": "UT",
"postal_code": "847907017",
"telephone_number": "435-251-2250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "652 S MEDICAL CENTER DR # LL-10",
"city": "SAINT GEORGE",
"state": "UT",
"postal_code": "847907017",
"telephone_number": "435-251-2250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURROUGHS",
"first_name": "VICTORIA",
"middle_name": "R",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-13",
"last_updated": "2024-05-15",
"certification_date": "2024-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "7350599-2401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.