Irina Burdetsky

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT011272 Issued in GA

Practice address

4700 Nelson Brogdon Blvd Ste 240
Buford, GA 30518-5401

Phone

(770) 271-3188

NPI assigned

Nov 30, 2007

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 GA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Rutgers New Jersey Medical School, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Primacare Rehabilitation P.C.Group PAC ID 2961591474, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Primacare Rehabilitation P.C.

  • Physical Therapy Clinic/Center
  • Suwanee, GA
  • NPI 1154408615

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Meadows Hand and Physical Therapy Clinic

  • Hand Physical Therapist
  • Johns Creek, GA
  • NPI 1063620037
  Medicare reassignment NPD
• Physiotherapy Associates Inc

  • Physical Therapy Clinic/Center
  • Lilburn, GA
  • NPI 1760568257
  Medicare reassignment NPD
• Physiotherapy Associates Inc

  • Physical Therapy Clinic/Center
  • Estero, FL
  • NPI 1720039902
  NPD

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766102400000",
    "number": "1316129315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 NELSON BROGDON BLVD STE 240",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305185401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 NELSON BROGDON BLVD STE 240",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305185401",
            "telephone_number": "770-271-3188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURDETSKY",
        "first_name": "IRINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-30",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT011272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Buford Pharmacy LLC
• Buford Public School Board of Education
• Buford Senior Living, LLC
• Brittani Buford
• Drake Bumpus
• Erin Burge, MS CCC-SLP
• Dellinia Dione Burgess, FNP-BC
• Ashleigh Burroughs, EDS, APC
• Ebony Burroughs
• Joane Buteau

• Physical Therapist in Buford, GA
• Providers in Buford, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2025; 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.

Verify at the official NPI Registry.