Active NPI
Lauren Ann Burgin, PT
- Physical Therapist
- Deer Park, TX
National Provider Identifier
1477039162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1306237
- Practice address
- 3710 Center St
Deer Park, TX 77536-6104 - Phone
- (281) 476-5801
- NPI assigned
- Jul 16, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1306237 | TX | Primary |
Addresses
Primary practice location
3710 Center St
Deer Park, TX 77536-6104
Mailing address
1055 FM 646 Rd W Apt 1227
Dickinson, TX 77539-3589
Phone (330) 418-7186
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240329000311 | AL | Practitioner - Physical Therapist in Private Practice | 9830537653 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1306237 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Austin Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
Locations
5540 Highway 431 S
#A
Brownsboro, AL 35741
Phone (256) 883-9494
5540 Highway 431 S
Brownsboro, AL 35741
Phone (256) 533-3003
2089 Cecil Ashburn Dr SE
Ste 202
Huntsville, AL 35802
Phone (256) 883-3363
Organizations & group practices 1
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": "1531699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531699200000",
"number": "1477039162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1055 FM 646 RD W APT 1227",
"city": "DICKINSON",
"state": "TX",
"postal_code": "775393589",
"telephone_number": "330-418-7186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3710 CENTER ST",
"city": "DEER PARK",
"state": "TX",
"postal_code": "775366104",
"telephone_number": "281-476-5801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURGIN",
"first_name": "LAUREN",
"middle_name": "ANN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-16",
"last_updated": "2018-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1306237",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Deer Park, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.