Individual provider Active NPI

Laura Burbach

  • Physical Therapist
  • Franklin, WI
National Provider Identifier
1629443338
Registry record updated Apr 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12503 Issued in WI
Practice address
9969 S 27TH St
Franklin, WI 53132-9533
Phone
(414) 325-4850
Fax
(414) 325-4851
NPI assigned
Dec 7, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2018

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 12503 WI Primary

Addresses

Primary practice location

9969 S 27TH St
Franklin, WI 53132-9533

Mailing address

9969 S 27TH St
Franklin, WI 53132-9533
Phone (414) 325-4850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1449446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523923200000",
    "number": "1629443338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9969 S 27TH ST",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531329533",
            "telephone_number": "414-325-4850",
            "fax_number": "414-325-4851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9969 S 27TH ST",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531329533",
            "telephone_number": "414-325-4850",
            "fax_number": "414-325-4851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURBACH",
        "first_name": "LAURA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-07",
        "last_updated": "2018-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "12503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; 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.