Active NPI
Burg Physical Therapy LLC
- Physical Therapist
- Bayonne, NJ
National Provider Identifier
1497150361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- BURG PHYSICAL THERAPY LLC
- Practice address
- 420 Broadway
Bayonne, NJ 07002-7113 - Phone
- (201) 437-0001
- Fax
- (201) 437-0006
- NPI assigned
- Nov 4, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Luiza Anna Burg, P.T.
- Title
- Physical Therapist/ Owner
- Phone
- (551) 221-2231
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
420 Broadway
Bayonne, NJ 07002-7113
Mailing address
420 Broadway
Bayonne, NJ 07002-7113
Phone (201) 437-0001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150114001448 | NJ | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 1456675735 |
Receives reassigned benefits from 1 practitioner Practice locations: Bayonne, NJ |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415059200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1415059200000",
"number": "1497150361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 BROADWAY",
"city": "BAYONNE",
"state": "NJ",
"postal_code": "070027113",
"telephone_number": "201-437-0001",
"fax_number": "201-437-0006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 BROADWAY",
"city": "BAYONNE",
"state": "NJ",
"postal_code": "070027113",
"telephone_number": "201-437-0001",
"fax_number": "201-437-0006"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BURG PHYSICAL THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-04",
"last_updated": "2014-11-04",
"status": "A",
"authorized_official_last_name": "BURG",
"authorized_official_first_name": "LUIZA",
"authorized_official_middle_name": "ANNA",
"authorized_official_title_or_position": "PHYSICAL THERAPIST/ OWNER",
"authorized_official_telephone_number": "551-221-2231",
"authorized_official_credential": "P.T."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bayonne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; 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.