Individual provider Active NPI

Rulon Dane Burningham, DPT

  • Physical Therapist
  • Mesquite, NV
National Provider Identifier
1639618739
Registry record updated Feb 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3493 Issued in NV
Practice address
340 Falcon Ridge Pkwy
#500
Mesquite, NV 89027-8850
Phone
(702) 346-3105
Fax
(702) 346-3544
NPI assigned
Feb 22, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2017

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 3493 NV Primary

Addresses

Primary practice location

340 Falcon Ridge Pkwy
#500
Mesquite, NV 89027-8850

Mailing address

PO Box 69
Mesquite, NV 89024-0069
Phone (702) 346-3105

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, UT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170317001370 NV Practitioner - Physical Therapist in Private Practice 3173808995 Reassigns benefits to 1 organization
I20250827003294 UT Practitioner - Physical Therapist in Private Practice 3173808995 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain Land Rehabilitation LLCGroup PAC ID 9234048745, 207 clinicians

Practice addresses (Care Compare)

4617 S Pioneer Rd
Suite 103
St George, UT 84790-5156
Phone (435) 767-9094

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3493NVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Land Rehabilitation LLC Physical Therapist CurrentSince Aug 1, 2025 Accepting new patients
Marchant Physical Therapy & Wellness, Inc. Physical Therapist CurrentSince Feb 22, 2017 Accepting new patients

Locations

340 Falcon Ridge Pkwy
#500
Mesquite, NV 89027
Phone (702) 346-3100

272 E Center St
Ste 103
Ivins, UT 84738
Phone (435) 674-2115

4617 S Pioneer Rd
Ste 103
St George, UT 84790
Phone (435) 767-9094

4179 S Riverboat Rd
Ste 110
Taylorsville, UT 84123
Phone (801) 337-4475

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": "1487721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487721600000",
    "number": "1639618739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "890240069",
            "telephone_number": "702-346-3105",
            "fax_number": "702-346-3544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 FALCON RIDGE PKWY",
            "address_2": "#500",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "890278850",
            "telephone_number": "702-346-3105",
            "fax_number": "702-346-3544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNINGHAM",
        "first_name": "RULON",
        "middle_name": "DANE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-22",
        "last_updated": "2017-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "3493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; 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.