Dana Michelle Burgess, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4461 Issued in SC

Practice address

5432-A Augusta Rd.
Lexington, SC 29072-3892

Phone

(803) 622-6540

NPI assigned

Aug 5, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Shelley Burgess Other name

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Medical University of South Carolina College of Medicine, 2002

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• In Shape Physical Therapy & Wellness Center LLC

  • Physical Therapy Clinic/Center
  • Lexington, SC
  • NPI 1619168879
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186272000000",
    "number": "1578754735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5432A AUGUSTA RD.",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290723892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5432-A AUGUSTA RD.",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290723892",
            "telephone_number": "803-622-6540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "DANA",
        "middle_name": "MICHELLE",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "4461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELLEY",
            "last_name": "BURGESS",
            "credential": "P.T.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Anthony Allen Buchta, RN
• Charles Gaither Bumgardner, D.M.D.
• Graham Adam Bunce, D.C.
• Emily Brooke Bunger, MCD, CCC-SLP
• Amanda Burgess, RN
• Mandy Burgett, MA, NCC
• Michelle Renee Burkard
• Caroline Mahala Burleson, NURSING
• Thomas L. Burner, M.ED.
• Jamie Pelfrey Burnett, PHARMD

• Physical Therapist in Lexington, SC
• Providers in Lexington, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.