Trevan Mitchell Burn, PT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

070023095 Issued in IL

Practice address

1809 Locust St
Sterling, IL 61081-1101

Phone

(815) 632-5285

Fax

(815) 632-5824

NPI assigned

Aug 21, 2017

Sex

Male

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 IL

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 and National Provider Directory roles.

• CGH Medical Center

  • General Acute Care Hospital
  • Sterling, IL
  • NPI 1902854623
  Medicare reassignment NPD
• CGH Medical Center

  • Durable Medical Equipment & Medical Supplies
  • Morrison, IL
  • NPI 1447415724
  NPD
• CGH Medical Center

  • Family Medicine Physician
  • Sterling, IL
  • NPI 1548540636
  NPD

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

{
    "created_epoch": "1503273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1306362439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 LOCUST ST",
            "city": "STERLING",
            "state": "IL",
            "postal_code": "610811101",
            "telephone_number": "815-632-5285",
            "fax_number": "815-632-5824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 LOCUST ST",
            "city": "STERLING",
            "state": "IL",
            "postal_code": "610811101",
            "telephone_number": "815-632-5285",
            "fax_number": "815-632-5824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURN",
        "first_name": "TREVAN",
        "middle_name": "MITCHELL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "070023095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie A Buckman
• Ajay Kumar Varma Buddaraju, MD
• Martha Anne Burch, PT
• Desiree Laurel Laurel Anne Burke, NP
• Wendy Burke, PT
• Susan Burnette, FNP-C
• Jessica Lynn Burrows, LCPC
• Burton Placement Services, Inc
• Rebecca Cady
• Ashlea L Canady, M.D.

• Physical Medicine & Rehabilitation Physician in Sterling, IL
• Providers in Sterling, IL by specialty
• Physical Medicine & Rehabilitation Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.