Active NPI
Tracy Burrows, MPT, OCS
- Physical Therapist
- Irvine, CA
National Provider Identifier
1245204478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT24795
- Practice address
- 17332 Von Karman Ave
Irvine, CA 92614-6242 - Phone
- (949) 861-8600
- NPI assigned
- Feb 14, 2006
- Last updated
- Jul 27, 2009
- 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 | PT24795 | CA | Primary |
Addresses
Primary practice location
17332 Von Karman Ave
Irvine, CA 92614-6242
Mailing address
28372 La Falda
Laguna Niguel, CA 92677-4408
Phone (949) 338-4741
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT24795 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Impt, Inc. | Physical Therapist | Past | Accepting new patients |
| Aliso Physical Therapy & Sports Medicine, Inc | Physical Therapist | Past | Accepting new patients |
| Southern California Spine and Sport Medical Associates, Inc | Past | Accepting new patients | |
| Maria Theresa Baylon-D'Souza | Physical Therapist | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/17238/brand/1/csg/1/fhir/r4
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 4
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.
-
dba Aliso Viejo Physical Therapy and Sports Medicine
- Physical Therapist
- Aliso Viejo, CA
- NPI 1770511859
-
dba Flex Physical Therapy
- Physical Therapist
- San Juan Capistrano, CA
- NPI 1982893822
-
- Pain Medicine (Anesthesiology) Physician
- Newport Beach, CA
- NPI 1902800543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248652800000",
"number": "1245204478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28372 LA FALDA",
"city": "LAGUNA NIGUEL",
"state": "CA",
"postal_code": "926774408",
"telephone_number": "949-338-4741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17332 VON KARMAN AVE",
"city": "IRVINE",
"state": "CA",
"postal_code": "926146242",
"telephone_number": "949-861-8600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURROWS",
"first_name": "TRACY",
"credential": "MPT, OCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-14",
"last_updated": "2009-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT24795",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.