Jeff Philip Burke, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501008037 Issued in MI

Practice address

4045 W Royal Dr
Traverse City, MI 49684-8965

Phone

(231) 935-0901

Fax

(231) 935-0308

NPI assigned

Aug 15, 2005

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20203/brand/1/csg/1/fhir/r4

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.

• Dynamic Physical Therapy Inc

  • Physical Therapist
  • Cadillac, MI
  • NPI 1609874288
  NPD (past)
• First Choice Physical Therapy, Inc

  • Physical Therapy Clinic/Center
  • Petoskey, MI
  • NPI 1619031010
  NPD (past)
• Great Lakes Orthopaedic Center, P.C.

  • Orthopaedic Surgery Physician
  • Traverse City, MI
  • NPI 1952323453
  NPD (past)

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338508800000",
    "number": "1336141704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 WEST ST",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497359309",
            "telephone_number": "231-675-6920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 W ROYAL DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496848965",
            "telephone_number": "231-935-0901",
            "fax_number": "231-935-0308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "JEFF",
        "middle_name": "PHILIP",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2012-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501008037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4491328",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4496647",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Lawrence Burgett Sr., CSA
• Brittany Burill
• Kimberly Marie Burke-Mead, RN
• Brian F. Burke, M. D.
• Brianna Burke
• Richard G Burke, MD
• Ryan Scot Burke, MD
• Sandra Burke, RN
• Sara Inez Burkett, RN
• Danielle Kay Burmeister, LLPC

• Physical Therapist in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2012; 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.