Terrell Lynn Burkhalter, P.T.A.

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

317 W 3Rd St
Suite 100
La Junta, CO 81050-1401

Phone

(719) 383-0990

NPI assigned

Dec 18, 2011

Last updated

Dec 18, 2011By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1324166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324166400000",
    "number": "1316216591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 RATON AVE",
            "city": "LA JUNTA",
            "state": "CO",
            "postal_code": "810503424",
            "telephone_number": "719-469-6573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 W 3RD ST",
            "address_2": "SUITE 100",
            "city": "LA JUNTA",
            "state": "CO",
            "postal_code": "810501401",
            "telephone_number": "719-383-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKHALTER",
        "first_name": "TERRELL",
        "middle_name": "LYNN",
        "credential": "P.T.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-18",
        "last_updated": "2011-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Gail Braley
• Brian Scott DDS Ms PC
• David Mitchel Brown, OD
• Leslie Bruna, FNP-BC
• Tarren Buford, LPN
• Kenneth R Burrow Jr., M.S.
• C T Archuleta MD LLC
• Judy Lee Campbell, RN
• Melody Cannon, B.A.
• Annette Marie Capwell

• Physical Therapy Assistant in La Junta, CO
• Providers in La Junta, CO by specialty
• Physical Therapy Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.