Active NPI
Lauren Nicole Burke, PT
- Physical Therapist
- Frederick, MD
National Provider Identifier
1376885798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 25566
- Practice address
- 350 Montevue LN
Frederick, MD 21702-8214 - Phone
- (301) 600-1581
- NPI assigned
- Mar 24, 2013
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1245119 | TX | |
| Physical Therapist | 225100000X | 2305207323 | VA | |
| Physical Therapist | 225100000X | PT871223 | DC | |
| Physical Therapist | 225100000X | 25566 | MD | Primary |
Addresses
Primary practice location
350 Montevue LN
Frederick, MD 21702-8214
Mailing address
6993 Meadowpoint Ter
New Market, MD 21774-6910
Phone (973) 534-4417
Other practice location 1
187 Thomas Johnson Dr
Suite 6
Frederick, MD 21702-4503
Phone (301) 663-1157
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT871223 | DC | MD | Physical Therapist |
| 25566 | MD | MD | Physical Therapist |
| 1245119 | TX | MD | Physical Therapist |
| 2305207323 | VA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544400000000",
"number": "1376885798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6993 MEADOWPOINT TER",
"city": "NEW MARKET",
"state": "MD",
"postal_code": "217746910",
"telephone_number": "973-534-4417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 MONTEVUE LN",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217028214",
"telephone_number": "301-600-1581"
}
],
"practiceLocations": [
{
"address_1": "187 Thomas Johnson Dr",
"address_2": "Suite 6",
"address_purpose": "LOCATION",
"city": "Frederick",
"state": "MD",
"postal_code": "217024503",
"country_code": "US",
"telephone_number": "301-663-1157",
"fax_number": "301-473-5901",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURKE",
"first_name": "LAUREN",
"middle_name": "NICOLE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-24",
"last_updated": "2018-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1245119",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305207323",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DC",
"license": "PT871223",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "25566",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.