Individual provider Active NPI

Tiffany N Burkeybile, PT

  • Physical Therapist
  • Excelsior Springs, MO
National Provider Identifier
1508076084
Registry record updated Nov 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2005028001 Issued in MO
Practice address
300 W Broadway St
Special Services - Claim Care
Excelsior Springs, MO 64024-2102
Phone
(816) 792-3782
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2005028001 MO Primary

Addresses

Primary practice location

300 W Broadway St
Special Services - Claim Care
Excelsior Springs, MO 64024-2102

Mailing address

803 Eastview Dr
Richmond, MO 64085-1118
Phone (816) 797-1901

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2005028001MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Excelsior Springs Public Schools 40 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.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478649600000",
    "number": "1508076084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 EASTVIEW DR",
            "city": "RICHMOND",
            "state": "MO",
            "postal_code": "640851118",
            "telephone_number": "816-797-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W BROADWAY ST",
            "address_2": "SPECIAL SERVICES - CLAIM CARE",
            "city": "EXCELSIOR SPRINGS",
            "state": "MO",
            "postal_code": "640242102",
            "telephone_number": "816-792-3782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKEYBILE",
        "first_name": "TIFFANY",
        "middle_name": "N",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2016-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2005028001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Excelsior Springs, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; 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.