Active NPI
Charlotte Adela Burnett, DPT
- Physical Therapist
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5642
- Practice address
- 7401 Riverside Pkwy Unit 219
Tulsa, OK 74136-5057 - Phone
- (918) 216-9303
- NPI assigned
- Oct 18, 2019
- 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 | 5642 | OK | Primary |
Addresses
Primary practice location
7401 Riverside Pkwy Unit 219
Tulsa, OK 74136-5057
Mailing address
9136 S Sheridan Rd Ste B
Tulsa, OK 74133-5328
Phone (918) 488-9991
Other practice location 1
12100 S Yukon Ave Ste D
Glenpool, OK 74033-6661
Phone (918) 992-6247
Other practice location 2
9540 N Garnett Rd Ste 101
Owasso, OK 74055-4410
Phone (918) 609-1300
Other practice location 3
9136 S Sheridan Rd Ste B
Tulsa, OK 74133-5328
Phone (918) 488-9991
Other names 1
- Dr. Charlotte Dzul-Garcia
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191121001799 | OK | Practitioner - Physical Therapist in Private Practice | 4789016247 |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
6036 Ridgecrest Rd
Apt 106
Dallas, TX 75231-6700
6036 Ridgecrest Rd
Apt 106
Dallas, TX 75231-6735
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Mobile Health Care | Physical Therapist | Current | Accepting new patients |
| Certified Credentialing, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Contractor
- Dallas, TX
- NPI 1235098385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710028800000",
"number": "1356984694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9136 S SHERIDAN RD STE B",
"city": "TULSA",
"state": "OK",
"postal_code": "741335328",
"telephone_number": "918-488-9991",
"fax_number": "918-488-9989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7401 RIVERSIDE PKWY UNIT 219",
"city": "TULSA",
"state": "OK",
"postal_code": "741365057",
"telephone_number": "918-216-9303"
}
],
"practiceLocations": [
{
"address_1": "12100 S Yukon Ave Ste D",
"address_purpose": "LOCATION",
"city": "Glenpool",
"state": "OK",
"postal_code": "740336661",
"country_code": "US",
"telephone_number": "918-992-6247",
"fax_number": "539-867-7065",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9540 N Garnett Rd Ste 101",
"address_purpose": "LOCATION",
"city": "Owasso",
"state": "OK",
"postal_code": "740554410",
"country_code": "US",
"telephone_number": "918-609-1300",
"fax_number": "918-609-1318",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9136 S Sheridan Rd Ste B",
"address_purpose": "LOCATION",
"city": "Tulsa",
"state": "OK",
"postal_code": "741335328",
"country_code": "US",
"telephone_number": "918-488-9991",
"fax_number": "918-488-9989",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURNETT",
"first_name": "CHARLOTTE",
"middle_name": "ADELA",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-18",
"last_updated": "2024-03-10",
"certification_date": "2024-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "5642",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHARLOTTE",
"last_name": "DZUL-GARCIA",
"prefix": "DR.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2024; 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.