Individual provider Active NPI

J Ryan W Burke, PT

  • Physical Therapist
  • Wilmington, DE
National Provider Identifier
1366716771
Registry record updated Apr 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
J1-0002832 Issued in DE
Practice address
1812 Marsh Rd
Store 505
Wilmington, DE 19810-4581
Phone
(302) 475-7500
NPI assigned
Mar 2, 2012
Last updated
Apr 17, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X J1-0002832 DE Primary

Addresses

Primary practice location

1812 Marsh Rd
Store 505
Wilmington, DE 19810-4581

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120323000023 DE Practitioner - Physical Therapist in Private Practice 5496915761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ati Holdings, LLCGroup PAC ID 9537112719, 440 clinicians

Practice addresses (Care Compare)

1600 Washington St
Ati Physical Therapy
Wilmington, DE 19802-4722
Phone (302) 656-2521

Merit-based Incentive Payment System (MIPS)

Final score
86.05 of 100Reported as group
Quality
89.12
Improvement activities
40
Cost
73.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
J1-0002832DEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings, LLC Physical Therapist CurrentSince Feb 13, 2012 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Feb 13, 2012 Accepting new patients
Ati Holdings, LLC Physical Therapist Past Accepting new patients

Locations

1288 S Governors Ave
Dover, DE 19904
Phone (302) 677-0100

283 N DuPont Hwy
Dover, DE 19901
Phone (302) 747-5229

285 Beiser Blvd
Ste 202
Dover, DE 19904
Phone (302) 747-5995

16819 S DuPont Hwy
Ste 500
Harrington, DE 19952
Phone (302) 786-3008

114 Sandhill Dr
Ste 103
Middletown, DE 19709
Phone (302) 285-0700

941 N DuPont Blvd
Ste C
Milford, DE 19963
Phone (302) 422-6670

1600 N Washington St
Wilmington, DE 19802
Phone (302) 428-5954

1812 Marsh Rd
Ste 505
Wilmington, DE 19810
Phone (302) 475-7500

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

826 E Baltimore Pike
Unit 9
Kennett Square, PA 19348
Phone (610) 335-1410

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1330646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334620800000",
    "number": "1366716771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 MARSH RD",
            "address_2": "STORE 505",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104581",
            "telephone_number": "302-475-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "J RYAN",
        "middle_name": "W",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-02",
        "last_updated": "2012-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0002832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2012; 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.