Fairlight Burke-Pallotta

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTA28452 Issued in FL

Practice address

2102 Shaffer PL
Orlando, FL 32806-3318

Phone

(321) 201-3992

NPI assigned

Feb 11, 2019

Last updated

Jul 24, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Fairlight McKenzie Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1538625926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 MAIN ST",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372063614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 SHAFFER PL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328063318",
            "telephone_number": "321-201-3992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE-PALLOTTA",
        "first_name": "FAIRLIGHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-11",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PTA28452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Fairlight.Burke-Pallotta@carebridgehealth.com",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "926 Main St",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372063614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "FAIRLIGHT",
            "last_name": "MCKENZIE",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maria Burgos
• Meghan Dolores Burgos, APRN
• Sheila Burgos
• Sonia Burgos
• Stephanie Burgos, M.D.
• Matthew Anthony Burke, RBT
• Regan R Burke, D.O.
• Sheneka Larand Burke
• Adriane Burkett
• Courtney Burkett

• Physical Therapist in Orlando, FL
• Providers in Orlando, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.