Jennifer Brooke Burch, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT42272 Issued in FL

Practice address

405 Racetrack Rd NE Ste 101
Fort Walton Beach, FL 32547-3960

Phone

(850) 863-4747

NPI assigned

May 9, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Jones Haber LLC

  dba Jones Physical Therapy

  • Physical Therapy Clinic/Center
  • Madisonville, LA
  • NPI 1316077191
  NPD

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

{
    "created_epoch": "1652054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1467198929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 RACETRACK RD NE STE 101",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325473960",
            "telephone_number": "850-863-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 RACETRACK RD NE STE 101",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325473960",
            "telephone_number": "850-863-4747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "389 Highway 21 Ste 403",
            "address_purpose": "LOCATION",
            "city": "Madisonville",
            "state": "LA",
            "postal_code": "704473441",
            "country_code": "US",
            "telephone_number": "985-792-5996",
            "fax_number": "985-792-5996",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURCH",
        "first_name": "JENNIFER",
        "middle_name": "BROOKE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-09",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "11165",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT42272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Foy Bryd
• Quinton Buckhanan
• Building Blocks ABA LLC
• Shawn Bullard
• Trish Bunch, OTR/L
• Jennifer Marie Burgemeister
• April Bullock Burgess, APRN
• Rebecca Burgett
• Tailynn Burgos, LSW
• Shannon Rae Burke, LPN

• Physical Therapist in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.