Active NPI
Melissa Lynn Burrill, PT
- Physical Therapist
- Glendale, AZ
National Provider Identifier
1417045071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5210
- Practice address
- 6320A W Union Hills Dr
Suite 265
Glendale, AZ 85308-7177 - Phone
- (623) 374-2424
- NPI assigned
- Oct 10, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5210 | AZ | Primary |
Addresses
Primary practice location
6320A W Union Hills Dr
Suite 265
Glendale, AZ 85308-7177
Mailing address
22224 N 21St PL
Phoenix, AZ 85024-6530
Phone (480) 473-4991
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 |
|---|---|---|---|
| 5210 | AZ | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apex Physical Therapy, LLC | Physical Therapist | Past | Accepting new patients |
| BHSM Rehabilitation, LLC | Past | Accepting new patients | |
| BHSM Rehabilitation, LLC | Past | Accepting new patients | |
| Rehab Institute of Scottsdale | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Phoenix, AZ
- NPI 1518282474
-
dba Banner Physical Therapy
- Physical Therapy Clinic/Center
- Bullhead City, AZ
- NPI 1093681033
-
dba Banner Physical Therapy
- Physical Therapy Clinic/Center
- Payson, AZ
- NPI 1497222632
-
- Physical Medicine & Rehabilitation Physician
- Scottsdale, AZ
- NPI 1104041094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1417045071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22224 N 21ST PL",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850246530",
"telephone_number": "480-473-4991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6320A W UNION HILLS DR",
"address_2": "SUITE 265",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853087177",
"telephone_number": "623-374-2424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURRILL",
"first_name": "MELISSA",
"middle_name": "LYNN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-10",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "5210",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.