Elizabeth I Burch, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11607-24 Issued in WI

Practice address

650 Centennial Centre Blvd
Hobart, WI 54155-8989

Phone

(920) 600-8583

NPI assigned

Sep 14, 2010

Last updated

Feb 16, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in WI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Sundance Rehabilitation LLC

  • Rehabilitation Clinic/Center
  • Deforest, WI
  • NPI 1073912119

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1306154299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N6135 WOODLAND MEADOWS DR",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530833347",
            "telephone_number": "920-207-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 CENTENNIAL CENTRE BLVD",
            "city": "HOBART",
            "state": "WI",
            "postal_code": "541558989",
            "telephone_number": "920-600-8583"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "N6135 Woodland Meadows Dr",
            "address_purpose": "LOCATION",
            "city": "Sheboygan",
            "state": "WI",
            "postal_code": "530833347",
            "country_code": "US",
            "telephone_number": "920-207-8855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURCH",
        "first_name": "ELIZABETH",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-14",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "11607-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Lavelle Baker, APSW
• Karen Elyse Brost, RN
• Bush Chiropractic LLC (Hobart Family Chiropractic)
• Eric Bush, DC
• Lana Cheslock
• Clarity Clinical Care LLC
• Rebekah Mae Driesenga

• Physical Therapist in Hobart, WI
• Providers in Hobart, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.