NPIMap

Organization Active NPI

Burke Collins Therapy, Inc.

Doing business as Back To Work Physical Therapy

  • Orthopedic Physical Therapist
  • Sarasota, FL
National Provider Identifier
1386034445
Registry record updated Jan 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
68-6650 Issued in FL
Legal business name
BURKE COLLINS THERAPY, INC.
Doing business as
Back To Work Physical Therapy
Practice address
5968 Clark Center Ave
Sarasota, FL 34238-2715
Phone
(813) 253-3092
Fax
(813) 259-9516
NPI assigned
Jan 28, 2015
Last updated
Jan 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2015

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

Authorized official

Name
Carleton Burke Collins, MS
Title
Clinic Director
Phone
(813) 253-3092

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 68-6650 FL Primary

Addresses

Primary practice location

5968 Clark Center Ave
Sarasota, FL 34238-2715

Mailing address

PO Box 3147
Tampa, FL 33601-3147
Phone (813) 253-3092

Other identifiers 2

IdentifierTypeStateIssuer
RT1OtherFLBLUE CROSS BLUE SHIELD
68-6650OtherFLOUTPATIENT REHABILITATION FACILITY

Other names 1

  • Back To Work Physical Therapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Burke Collins Therapy Inc23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1422403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422403200000",
    "number": "1386034445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3147",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336013147",
            "telephone_number": "813-253-3092",
            "fax_number": "813-259-9516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5968 CLARK CENTER AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342382715",
            "telephone_number": "813-253-3092",
            "fax_number": "813-259-9516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURKE COLLINS THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-28",
        "last_updated": "2015-01-28",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "CARLETON",
        "authorized_official_middle_name": "BURKE",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "813-253-3092",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "68-6650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "RT1",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OUTPATIENT REHABILITATION FACILITY",
            "identifier": "68-6650",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back To Work Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.