Organization Active NPI

Burg Physical Therapy LLC

  • Physical Therapist
  • Bayonne, NJ
National Provider Identifier
1497150361
Registry record updated Nov 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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

Updated by the provider on Nov 4, 2014

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

Authorized official

Name
Luiza Anna Burg, P.T.NPI 1780873539
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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
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 Directory

Practitioners & 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.

Verify at the official NPI Registry.