Individual provider Active NPI

Stephen James Burkert II, MSPT

  • Physical Therapist
  • Omaha, NE
National Provider Identifier
1326278409
Registry record updated Jul 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01176000 Issued in NJ
Practice address
11133 O St
Omaha, NE 68137-2337
Phone
(800) 259-9897
NPI assigned
Jul 22, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01176000 NJ Primary
Physical Therapist 225100000X P11342 NC
Physical Therapist 225100000X 18252 MA
Physical Therapist 225100000X 070016674 IL
Physical Therapist 225100000X PTL-10260 CO
Physical Therapist 225100000X 2213 MT

Addresses

Primary practice location

11133 O St
Omaha, NE 68137-2337

Mailing address

604 Bounty CT
Toms River, NJ 08753-8173
Phone (732) 600-3282

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

LicenseStateTypeSpecialty
18252MAMDGeneral Practice Dentistry
PTL-10260COMDPhysical Therapist
070016674ILMDPhysical Therapist
2213MTMDPhysical Therapist
P11342NCMDPhysical Therapist
40QA01176000NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Talk of the Town, LLC Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248220800000",
    "number": "1326278409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 BOUNTY CT",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087538173",
            "telephone_number": "732-600-3282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11133 O ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681372337",
            "telephone_number": "800-259-9897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKERT",
        "first_name": "STEPHEN",
        "middle_name": "JAMES",
        "name_suffix": "II",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-22",
        "last_updated": "2009-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01176000",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P11342",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "18252",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070016674",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL-10260",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "2213",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.

Verify at the official NPI Registry.