Individual provider Active NPI

Vernise Lorraine Burs, PT

  • Physical Therapist
  • Baltimore, MD
National Provider Identifier
1619096591
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15458 Issued in MD
Practice address
2530 N Charles St
Suite 102
Baltimore, MD 21218-4627
Phone
(410) 889-7872
Fax
(410) 889-7992
NPI assigned
Mar 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 15458 MD Primary

Addresses

Primary practice location

2530 N Charles St
Suite 102
Baltimore, MD 21218-4627

Mailing address

2530 N Charles St
Suite 102
Baltimore, MD 21218-4627
Phone (410) 889-7872

Other identifiers 2

IdentifierTypeStateIssuer
52676301OtherMDCAREFIRST BLUE CROSS
0001W486OtherDCCAREFIRST BLUE CROSS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120308000338 MD Practitioner - Physical Therapist in Private Practice 0840189429 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Salus Capital IncGroup PAC ID 6103131198, 25 clinicians

Practice addresses (Care Compare)

1020 Saint Paul St
Baltimore, MD 21202-2606
Phone (410) 529-0348

3202 Fairview Rd
Lowr Level
Gwynn Oak, MD 21207-4555
Phone (410) 889-7872

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15458MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Burs and Garrett Physical Therapy Associates CurrentSince Nov 16, 1993 Accepting new patients
Salus Capital Inc Physical Therapist CurrentSince Jul 1, 2023 Accepting new patients

Locations

1020 Saint Paul St
Baltimore, MD 21202
Phone (410) 529-0348

2530 N Charles St
Ste 102
Baltimore, MD 21218
Phone (410) 685-1188

Organizations & group practices 2

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": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1619096591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 N CHARLES ST",
            "address_2": "SUITE 102",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212184627",
            "telephone_number": "410-889-7872",
            "fax_number": "410-889-7992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 N CHARLES ST",
            "address_2": "SUITE 102",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212184627",
            "telephone_number": "410-889-7872",
            "fax_number": "410-889-7992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURS",
        "first_name": "VERNISE",
        "middle_name": "LORRAINE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "15458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUE CROSS",
            "identifier": "52676301",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUE CROSS",
            "identifier": "0001W486",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

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