Individual provider Active NPI

Tricia Burbank, PT

  • Physical Therapist
  • St George, UT
National Provider Identifier
1598027674
Registry record updated Jun 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6210745-2401 Issued in UT
Practice address
780 N 2860 E Ste 202
St George, UT 84790-8707
Phone
(435) 525-1877
Fax
(435) 215-7665
NPI assigned
Jun 13, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2017

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 6210745-2401 UT Primary

Addresses

Primary practice location

780 N 2860 E Ste 202
St George, UT 84790-8707

Mailing address

1490 E Foremaster Dr
Ste 110
St George, UT 84790-4492
Phone (435) 525-1877

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170705000805 UT Practitioner - Physical Therapist in Private Practice 3971872037 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc Physical Therapist CurrentSince Sep 19, 2023 Accepting new patients
Phenix Pelvic Health Current Accepting new patients
Ihc Health Services, Inc. CurrentSince Sep 19, 2023 Accepting new patients
Marchant Physical Therapy & Wellness, Inc. Physical Therapist CurrentSince May 21, 2017 Accepting new patients
Tri-Fit Therapy Physical Therapist Past Accepting new patients
Comprehensive Mental and Family Healthcare PastSince Apr 1, 2021 Accepting new patients

Locations

340 Falcon Ridge Pkwy
Bldg 500
Mesquite, NV 89027
Phone (435) 688-8991

5171 S Cottonwood St
Ste 900
Salt Lake City, UT 84107
Phone (801) 507-2050

1490 E Foremaster Dr
Ste 110
St George, UT 84790
Phone (435) 288-2242

617 E Riverside Dr
Ste 303
St George, UT 84790
Phone (435) 652-4455

652 S Medical Center Dr
Ste LL10
St George, UT 84790
Phone (435) 251-2250

Organizations & group practices 6

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": "1339545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497916800000",
    "number": "1598027674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 E FOREMASTER DR",
            "address_2": "STE 110",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847904492",
            "telephone_number": "435-525-1877",
            "fax_number": "435-215-7665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 N 2860 E STE 202",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847908707",
            "telephone_number": "435-525-1877",
            "fax_number": "435-215-7665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURBANK",
        "first_name": "TRICIA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-13",
        "last_updated": "2017-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "6210745-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2017; 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.