Active NPI
Rulon Dane Burningham, DPT
- Physical Therapist
- Mesquite, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3493
- 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
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 | 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, UT
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLC
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3493 | NV | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain Land Rehabilitation LLC | Physical Therapist | Current | Accepting new patients |
| Marchant Physical Therapy & Wellness, Inc. | Physical Therapist | Current | 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.
-
- Physical Therapist
- Salt Lake City, UT
- NPI 1265549372
-
- Specialist
- Mesquite, NV
- NPI 1205838265
NV, Physical Therapist
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.