Connor Burk, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Practice address

18831 Statesville Rd
Cornelius, NC 28031-6755

Phone

(704) 609-0357

NPI assigned

Jul 30, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Crush It Athletics and Physical Therapy

  • Physical Therapy Clinic/Center
  • Statesville, NC
  • NPI 1063279347

  Orthopedic

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1596067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1629687140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18831 STATESVILLE RD",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280316755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18831 STATESVILLE RD",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280316755",
            "telephone_number": "704-609-0357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURK",
        "first_name": "CONNOR",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-30",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frieda Brown, PH.D.
• Pamela Brown
• Scott Buchanan Jr., DO
• Jessica Rhea Buckler
• Elizabeth Joyce Bullard
• Parker Burns
• Jana Kaye Burson, M.D.
• Anthony W Burwell, OWNER
• Shannon Marie Butler, FNP
• Byrd Counseling & Consulting, PLLC

• Orthopedic Physical Therapist in Cornelius, NC
• Providers in Cornelius, NC by specialty
• Orthopedic Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.

Verify at the official NPI Registry.