Kevin Burciaga

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1261339 Issued in TX

Practice address

1910 Clear Creek Dr
Weatherford, TX 76087-3803

Phone

(904) 445-7754

NPI assigned

Dec 31, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Feld Care Therapy Inc

  • Physical Therapist
  • Thousand Oaks, CA
  • NPI 1770069338
  Medicare reassignment NPD
• Feld Care Therapy Inc

  • Physical Therapist
  • Tampa, FL
  • NPI 1134075864
  NPD (past)

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

{
    "created_epoch": "1451520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1649635970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 CLEAR CREEK DR",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760873803",
            "telephone_number": "904-445-7754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 CLEAR CREEK DR",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760873803",
            "telephone_number": "904-445-7754"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3123 FM 1960 Rd E Ste 3123A",
            "address_purpose": "LOCATION",
            "city": "Humble",
            "state": "TX",
            "postal_code": "773385325",
            "country_code": "US",
            "telephone_number": "832-581-4323",
            "fax_number": "832-581-4355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURCIAGA",
        "first_name": "KEVIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-31",
        "last_updated": "2024-11-05",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "11965",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1261339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Ann Buchanan
• Brenda Buckner, PH.D
• Enrique Jr Pinzon Bucoy
• Elizabeth Buesing
• Cheryl Lynn Bullock, LPC
• Jonathan Burke, DNP-A RN APRN CRNA
• Kayleigh Jane Burns
• Christopher L Butler, CRNA
• Michelle Danielle Butler
• Phyllis Jane Butler, PTA ASSOCIATE

• Physical Therapist in Weatherford, TX
• Providers in Weatherford, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.