J Ryan W Burke, PT
Individual provider Active NPI Physical Therapist · Wilmington, DE
NPI 1366716771 · NPPES record last updated Apr 17, 2012
Key facts
- NPI
- 1366716771
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- J1-0002832 (DE)
- Practice address
- 1812 Marsh Rd
Store 505
Wilmington, DE 19810-4581 - Phone
- (302) 475-7500
- NPI assigned
- Mar 2, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ati Holdings, LLC
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 100
- Quality
- 89.12
- Improvement activities
- 40
- Cost
- 73.46
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DE
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120323000023 | DE | Practitioner - Physical Therapist in Private Practice | 5496915761 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ati Holdings, LLC | Physical Therapist | Current |
Accepting new patients |
| Ati Holdings, LLC | Physical Therapist | Current |
Accepting new patients |
| Ati Holdings, LLC | Physical Therapist | Past | Accepting new patients |
Locations
285 Beiser Blvd
Ste 202
Dover, DE 19904
Phone (302) 747-5995
283 N DuPont Hwy
Dover, DE 19901
Phone (302) 747-5229
1288 S Governors Ave
Dover, DE 19904
Phone (302) 677-0100
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | J1-0002832 | DE | Yes |
Addresses
Primary practice location
1812 Marsh Rd
Store 505
Wilmington, DE 19810-4581
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
NPI Registry JSON
{
"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
- Matthew J Burday
- Shannon Burdeshaw
- Taylor Ashley Roane Burge
- Burke Dental Associates LLC
- Christine M. Burke
- Jillanne Burke
- Lawanda Burke
- Shannon Burke
- Katherine Ann Burkett
- Edith D Burkey
All providers in Wilmington, DE · Physical Therapist in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.