Individual provider Active NPI

Daniel A Burkhart, MS, OTR/L

  • Occupational Therapist
  • Sumter, SC
National Provider Identifier
1346502275
Registry record updated Jan 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
3911 Issued in SC
Practice address
2825 Carter Rd
Sumter, SC 29150-1712
Phone
(304) 676-9956
NPI assigned
Jun 15, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 3911 SC Primary

Addresses

Primary practice location

2825 Carter Rd
Sumter, SC 29150-1712

Mailing address

1314 Waterway Dr
North Myrtle Beach, SC 29582-2538
Phone (304) 676-2077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200604001398 SC Practitioner - Occupational Therapist in Private Practice 3577994425 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Hand and Upper Extremity TherapyGroup PAC ID 3678904620, 6 clinicians

Practice addresses (Care Compare)

1021 2ND Ave N
Suite 6
North Myrtle Beach, SC 29582-3200
Phone (843) 286-5168

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
3911SCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Hand and Upper Extremity Therapy Occupational Therapist CurrentSince Jan 20, 2020 Accepting new patients

Locations

1021 2nd Ave N
Ste 6
North Myrtle Beach, SC 29582
Phone (304) 676-2077

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": "1339718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1346502275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 WATERWAY DR",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295822538",
            "telephone_number": "304-676-2077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 CARTER RD",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501712",
            "telephone_number": "304-676-9956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKHART",
        "first_name": "DANIEL",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "MS, OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-15",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "3911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; 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.