Ellie Phillips-Burdge, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ELLIE PHILLIPS-BURDGE, LLC

Practice address

116 Wood Rd
Freeville, NY 13068-9752

Phone

(607) 708-1110

NPI assigned

May 3, 2023

Organization subpart

No

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

Authorized official

Name

Eleanora Phillips-Burdge, PT

Title

Physical Therapist

Phone

(607) 708-1110

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1683072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683072000000",
    "number": "1417646795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 265",
            "city": "ETNA",
            "state": "NY",
            "postal_code": "130620265",
            "telephone_number": "607-708-1110",
            "fax_number": "607-708-1130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 WOOD RD",
            "city": "FREEVILLE",
            "state": "NY",
            "postal_code": "130689752",
            "telephone_number": "607-708-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIE PHILLIPS-BURDGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-03",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS-BURDGE",
        "authorized_official_first_name": "ELEANORA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "607-708-1110",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Freeville, NY
• Providers in Freeville, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; 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.