Tatyana Valerie Burlakova

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A1267 Issued in MN

Practice address

7500 W 22ND St
Minneapolis, MN 55426-2602

Phone

(763) 213-4488

NPI assigned

Feb 2, 2023

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1675296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1649976515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3036 W LAKE ST UNIT 217",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554165236",
            "telephone_number": "612-423-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 W 22ND ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554262602",
            "telephone_number": "763-213-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURLAKOVA",
        "first_name": "TATYANA",
        "middle_name": "VALERIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-02",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MN",
            "license": "A1267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura T Burkhardt, LICSW
• Eugenia Burkholder
• Andrea Jean Burklin
• Kyia Burks Lankford
• Brianna Paige Burks
• Haley Marie Burleigh, M.S. CCC-SLP
• Lynn Burmeister, M.D.
• Sabrina Burn, M.D.
• Heather Burnett
• Sophie Burnevik

• Physical Therapy Assistant in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Physical Therapy Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.