Active NPI
Heather Ann Burk, PT
- Physical Therapist
- Jackson, MI
National Provider Identifier
1457710170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501010546
- Practice address
- 5025 Ann Arbor Rd
Jackson, MI 49201-8801 - Phone
- (517) 879-1505
- NPI assigned
- Feb 23, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT28710 | FL | |
| Physical Therapist | 225100000X | 5501010546 | MI | Primary |
Addresses
Primary practice location
5025 Ann Arbor Rd
Jackson, MI 49201-8801
Mailing address
11241 Sand Hill Dr
Grass Lake, MI 49240-9688
Phone (517) 250-0133
Other practice location 1
775 S Main St
Chelsea, MI 48118-1383
Phone (734) 593-5600
Other names 1
- Heather Dorgan
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 |
|---|---|---|---|
| PT28710 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525132800000",
"number": "1457710170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11241 SAND HILL DR",
"city": "GRASS LAKE",
"state": "MI",
"postal_code": "492409688",
"telephone_number": "517-250-0133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5025 ANN ARBOR RD",
"city": "JACKSON",
"state": "MI",
"postal_code": "492018801",
"telephone_number": "517-879-1505"
}
],
"practiceLocations": [
{
"address_1": "775 S Main St",
"address_purpose": "LOCATION",
"city": "Chelsea",
"state": "MI",
"postal_code": "481181383",
"country_code": "US",
"telephone_number": "734-593-5600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURK",
"first_name": "HEATHER",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-23",
"last_updated": "2018-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT28710",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501010546",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HEATHER",
"last_name": "DORGAN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.