Ryan Matthew Burke, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

20170 Issued in MA

Practice address

110 Florence Street
Suite 104
Malden, MA 02148

Phone

(781) 321-7000

Fax

(781) 322-9678

NPI assigned

Oct 26, 2012

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Massachusetts Medical & Physical Therapy Associates Inc.

  • Rehabilitation Practitioner
  • Woburn, MA
  • NPI 1447259163

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1351209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466553600000",
    "number": "1447503537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 CROWN COLONY DR",
            "address_2": "STE 102",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021690902",
            "telephone_number": "617-657-5921",
            "fax_number": "781-986-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 FLORENCE STREET",
            "address_2": "SUITE 104",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "02148",
            "telephone_number": "781-321-7000",
            "fax_number": "781-322-9678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "RYAN",
        "middle_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-26",
        "last_updated": "2016-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "20170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Salpeter Buckley
• Michael S Buckley, MA
• Ashley Buettgen
• Dylan H Bui, OD
• Kimberly Buonomo, DPT
• Sheila Buteau, RN
• Margaret Butler, LICSW
• Maria Grace Butler
• Suzanne D Butler
• Yoong Koo Byun

• Physical Therapist in Malden, MA
• Providers in Malden, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; 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.