Individual provider Active NPI

Barbara Lauren Burns, MPT

  • Physical Therapist
  • San Antonio, TX
National Provider Identifier
1639429772
Registry record updated Jan 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1169387 Issued in TX
Practice address
5307 Broadway St
San Antonio, TX 78209
Phone
(210) 832-5400
Fax
(210) 832-5400
NPI assigned
Sep 17, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical Therapist 2251S0007X 1169387 TX
Physical Therapist 225100000X 1169387 TX Primary

Addresses

Primary practice location

5307 Broadway St
San Antonio, TX 78209

Mailing address

5307 Broadway St Ste 201
San Antonio, TX 78209-5743
Phone (210) 832-5400

Other identifiers 4

IdentifierTypeStateIssuer
P01234409OtherTXRR MEDICARE
327120701MedicaidTX
12568660OtherTXCAQH
879T59OtherTXBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130920000291 TX Practitioner - Physical Therapist in Private Practice 6800030453 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
May accept Medicare assignment
Group practices
The Orthopedic StoreGroup PAC ID 1355255977, 3 clinicians

Practice addresses (Care Compare)

1218 Arion Pkwy
Suite 116
San Antonio, TX 78216-2813
Phone (210) 366-2990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1169387TXMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Orthopedic Store Physical Therapist Current Accepting new patients
The Orthopedic Store Physical Therapist CurrentSince Sep 12, 2022 Accepting new patients
Sports Medicine Associates of San Antonio, PA Physical Therapist Past Accepting new patients

Locations

1218 Arion Pkwy
Ste S116
San Antonio, TX 78216

1218 Arion Pkwy
Ste 116
San Antonio, TX 78216
Phone (210) 366-2990

Organizations & group practices 3

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": "1347840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1639429772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5307 BROADWAY ST STE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782095743",
            "telephone_number": "210-832-5400",
            "fax_number": "210-832-5421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5307 BROADWAY ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78209",
            "telephone_number": "210-832-5400",
            "fax_number": "210-832-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "BARBARA",
        "middle_name": "LAUREN",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-17",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "TX",
            "license": "1169387",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1169387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01234409",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "327120701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12568660",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "879T59",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; 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.