Active NPI
David Glenn Burchuk, P.T.
- Physical Therapist
- Portsmouth, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1271
- Practice address
- 1 Cate St
Portsmouth, NH 03801-7108 - Phone
- (603) 431-0277
- Fax
- (603) 422-8849
- NPI assigned
- Sep 27, 2006
- Sex
- Male
- 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 | 1271 | NH | Primary |
Addresses
Primary practice location
1 Cate St
Portsmouth, NH 03801-7108
Mailing address
29 Garrison LN
Madbury, NH 03823-7605
Phone (603) 749-6496
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040127000492 | NH | Practitioner - Physical Therapist in Private Practice | 2860394046 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Vermont College of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ability, LLC
Practice addresses (Care Compare)
60 Pointe PL
Suite 1
Dover, NH 03820-4743
Phone (603) 770-0408
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1271 | NH | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ability, LLC | Physical Therapist | Current | Accepting new patients |
| Lighthouse Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Natural Healing Acupuncture, LLC | Past | Accepting new patients |
Locations
60 Pointe Pl
Ste 1
Dover, NH 03820
Phone (603) 343-6475
1 Cate St
Portsmouth, NH 03801
Phone (603) 431-0277
1 Cate St
Unit 1
Portsmouth, NH 03801
Phone (603) 431-0277
1 Cate St
Ste 110
Portsmouth, NH 03801
Phone (603) 431-0277
Organizations & group practices 3
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
- Portsmouth, NH
- NPI 1568433092
NH, Physical Therapist
-
- Acupuncturist
- Portsmouth, NH
- NPI 1437334620
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215648000000",
"number": "1417048596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 GARRISON LN",
"city": "MADBURY",
"state": "NH",
"postal_code": "038237605",
"telephone_number": "603-749-6496",
"fax_number": "603-422-8849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CATE ST",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "038017108",
"telephone_number": "603-431-0277",
"fax_number": "603-422-8849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURCHUK",
"first_name": "DAVID",
"middle_name": "GLENN",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2008-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NH",
"license": "1271",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portsmouth, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.