Active NPI
Laura Jeanette Burke, DPT
- Physical Therapist
- Charlotte, NC
National Provider Identifier
1477043982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P20337
- Practice address
- 8420 University Exec Park Dr Ste 850
Charlotte, NC 28262-1308 - Phone
- (704) 316-3850
- NPI assigned
- May 10, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305211885 | VA | |
| Physical Therapist | 225100000X | P20337 | NC | Primary |
Addresses
Primary practice location
8420 University Exec Park Dr Ste 850
Charlotte, NC 28262-1308
Mailing address
PO Box 601791
Charlotte, NC 28260-1791
Phone (704) 316-3850
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2305211885 | Other | VA | VIRGINIA BOARD OF PHYSICAL THERAPY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lburke892800@direct.novanthealth.org |
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 |
|---|---|---|---|
| 2305211885 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| O&W Enterprises | Physical Therapist | Past | Accepting new patients |
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.
-
- Physical Therapist
- Stanleytown, VA
- NPI 1487895348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707696000000",
"number": "1477043982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 601791",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282601791",
"telephone_number": "704-316-3850",
"fax_number": "704-316-1755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8420 UNIVERSITY EXEC PARK DR STE 850",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282621308",
"telephone_number": "704-316-3850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKE",
"first_name": "LAURA",
"middle_name": "JEANETTE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-10",
"last_updated": "2024-02-12",
"certification_date": "2024-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305211885",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P20337",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA BOARD OF PHYSICAL THERAPY",
"identifier": "2305211885",
"state": "VA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lburke892800@direct.novanthealth.org",
"affiliation": "N",
"address_1": "8420 University Exec Park Dr Ste 850",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282621308",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.