Organization Active NPI

Burns Physical Therapy, P. C.

  • Physical Therapist
  • Springfield, IL
National Provider Identifier
1477561751
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
BURNS PHYSICAL THERAPY, P. C.
Practice address
2061 Timberbrook Dr
Springfield, IL 62702-4626
Phone
(217) 793-1500
Fax
(217) 793-6102
NPI assigned
Aug 3, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Richard Burns
Title
Administrator
Phone
(217) 793-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X IL Primary

Addresses

Primary practice location

2061 Timberbrook Dr
Springfield, IL 62702-4626

Mailing address

PO Box 2333
Springfield, IL 62705-2333
Phone (217) 793-1500

Other identifiers 1

IdentifierTypeStateIssuer
8423652OtherILBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

2061 Timberbrook Dr
Springfield, IL 62702
Phone (217) 546-2000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477561751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2333",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627052333",
            "telephone_number": "217-793-1500",
            "fax_number": "217-793-6102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2061 TIMBERBROOK DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627024626",
            "telephone_number": "217-793-1500",
            "fax_number": "217-793-6102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURNS PHYSICAL THERAPY, P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "217-793-1500"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8423652",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.