Evan Burgess, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

10197781-2401 Issued in UT

Practice address

1685 W 2200 S
Salt Lake City, UT 84119-1456

Phone

(801) 887-5455

NPI assigned

Mar 31, 2017

Last updated

Mar 31, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Utah Luna Care Physical Therapy LLCGroup PAC ID 4880089275, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Utah Luna Care Physical Therapy LLC

  • Physical Therapist
  • Salt Lake City, UT
  • NPI 1437802246

  Orthopedic

  Medicare reassignment Care Compare group NPD
• Next Level Physical Therapy LLC

  • Physical Therapist
  • Taylorsville, UT
  • NPI 1578372801
  NPD Authorized official

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

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490918400000",
    "number": "1386176071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 LOST CREEK LN",
            "address_2": "403",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841077964",
            "telephone_number": "248-225-3729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1685 W 2200 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841191456",
            "telephone_number": "801-887-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "EVAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-31",
        "last_updated": "2017-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "UT",
            "license": "10197781-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Burg Family & Cosmetic Dentsitry
• Jennifer Jean Burge, COTA/L
• Brandon James Burger, DO
• Elise Sylvie Burger, MD, PHD
• Bonnie Lehmberg Burgess I, RBT, BS,
• Rebecca Deann Burgess
• Steve Burgess
• Kendall M. Burgett, MD
• Sally Sue Burgin, MSW/LCSW
• McKell Burgon

• Orthopedic Physical Therapist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Orthopedic Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2017; 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.