Individual provider Active NPI

Judy L Burlingame, DPT

  • Physical Therapist
  • Greenwood Village, CO
National Provider Identifier
1467493262
Registry record updated Jan 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5834 Issued in CO
Practice address
6041 S Syracuse Way
Suite 307
Greenwood Village, CO 80111-4771
Phone
(720) 482-0071
Fax
(720) 482-0081
NPI assigned
Jun 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5834 CO Primary

Addresses

Primary practice location

6041 S Syracuse Way
Suite 307
Greenwood Village, CO 80111-4771

Mailing address

6041 S Syracuse Way
Suite 307
Greenwood Village, CO 80111-4771
Phone (720) 482-0071

Other identifiers 1

IdentifierTypeStateIssuer
BU667610OtherCOBLUE CROSS,BLUE SHIELD #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040225000833 CO Practitioner - Physical Therapist in Private Practice 0345136446 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Luna Care Physical Therapy LLCGroup PAC ID 7517363617, 210 clinicians

Practice addresses (Care Compare)

Denver, CO 80246
Phone (866) 525-3175

6041 S Syracuse Way
Suite 307
Greenwood Village, CO 80111-4716
Phone (720) 482-0071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC Current Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Apr 15, 2024 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Apr 15, 2024 Accepting new patients
Burlingame Physiotherapy, LLC Physical Therapist CurrentSince Mar 22, 2012 Accepting new patients
Colorado Luna Care Physical Therapy LLC Physical Therapist CurrentSince Apr 15, 2024 Accepting new patients

Locations

500 Eldorado Blvd
Bldg 4
Broomfield, CO 80021
Phone (303) 812-4790

501 S Cherry St
Fl 11
Denver, CO 80246
Phone (309) 530-8782

6041 S Syracuse Way
Ste 307
Greenwood Village, CO 80111
Phone (303) 770-7284

8550 W 38th Ave
Ste 100
Wheat Ridge, CO 80033
Phone (303) 467-4100

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389052800000",
    "number": "1467493262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6041 S SYRACUSE WAY",
            "address_2": "SUITE 307",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801114771",
            "telephone_number": "720-482-0071",
            "fax_number": "720-482-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6041 S SYRACUSE WAY",
            "address_2": "SUITE 307",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801114771",
            "telephone_number": "720-482-0071",
            "fax_number": "720-482-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURLINGAME",
        "first_name": "JUDY",
        "middle_name": "L",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2014-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "5834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS,BLUE SHIELD #",
            "identifier": "BU667610",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; 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.

Verify at the official NPI Registry.