Active NPI
Michelle Marie Burski
- Physical Therapist
- Montgomery City, MO
National Provider Identifier
1356574008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2008027202
- Practice address
- 418 N Highway 19
Montgomery City, MO 63361-5217 - Phone
- (573) 564-3710
- Fax
- (573) 564-6182
- NPI assigned
- Aug 28, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2008027202 | MO | Primary |
Addresses
Primary practice location
418 N Highway 19
Montgomery City, MO 63361-5217
Mailing address
418 N Highway 19
Montgomery City, MO 63361-5217
Phone (573) 564-2278
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2008027202 | MO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Montgomery School Dist | Physical Therapist | Past | 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.
-
- Local Education Agency (LEA)
- Montgomery City, MO
- NPI 1700927456
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251417600000",
"number": "1356574008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "418 N HIGHWAY 19",
"city": "MONTGOMERY CITY",
"state": "MO",
"postal_code": "633615217",
"telephone_number": "573-564-2278",
"fax_number": "573-564-6182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "418 N HIGHWAY 19",
"city": "MONTGOMERY CITY",
"state": "MO",
"postal_code": "633615217",
"telephone_number": "573-564-3710",
"fax_number": "573-564-6182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURSKI",
"first_name": "MICHELLE",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-28",
"last_updated": "2009-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2008027202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montgomery City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.