Active NPI
James Daniel Burke, P.T.
- Physical Therapist
- Beaumont, TX
National Provider Identifier
1619134848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1166369
- Practice address
- 4025 Eastex Fwy
Beaumont, TX 77706-7146 - Phone
- (409) 347-8585
- Fax
- (409) 750-7772
- NPI assigned
- May 16, 2008
- Last updated
- Dec 29, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1166369 | TX | Primary |
Addresses
Primary practice location
4025 Eastex Fwy
Beaumont, TX 77706-7146
Mailing address
224 Creekside Loop
Sour Lake, TX 77659-9799
Phone (409) 347-8585
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1166369 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Physical Therapy Services | Current | Accepting new patients | |
| Baptist Hospitals of Southeast Texas | Past | Accepting new patients |
Locations
4025 Eastex Fwy
Beaumont, TX 77706
Phone (409) 347-8585
4027 Eastex Fwy
Beaumont, TX 77706
Phone (409) 673-7641
4031 Eastex Fwy
Beaumont, TX 77706
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Beaumont, TX
- NPI 1679018519
-
dba Baptist Beaumont Hospital
- Community/Retail Pharmacy
- Beaumont, TX
- NPI 1356984439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609200000000",
"number": "1619134848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 CREEKSIDE LOOP",
"city": "SOUR LAKE",
"state": "TX",
"postal_code": "776599799",
"telephone_number": "409-347-8585",
"fax_number": "409-750-7772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4025 EASTEX FWY",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777067146",
"telephone_number": "409-347-8585",
"fax_number": "409-750-7772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKE",
"first_name": "JAMES",
"middle_name": "DANIEL",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-16",
"last_updated": "2020-12-29",
"certification_date": "2020-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1166369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaumont, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; 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.