Active NPI
Staci Burkard, P.T.
- Physical Therapist
- Madison, WI
National Provider Identifier
1659440709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 340 S Whitney Way Ste 200
Madison, WI 53705-4656 - Phone
- (608) 238-1312
- Fax
- (608) 238-1464
- NPI assigned
- Nov 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 070.008022 | IL | |
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
340 S Whitney Way Ste 200
Madison, WI 53705-4656
Mailing address
340 S Whitney Way Ste 200
Madison, WI 53705-4656
Phone (608) 238-1312
Other practice location 1
1201 N Clark St
Suite 202
Chicago, IL 60610-2270
Phone (312) 944-7595
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
313 Junction Rd
Madison, WI 53717-2613
Phone (608) 658-5352
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070.008022 | IL | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Merit Telehealth, LLC | Physical Therapist | Current | Accepting new patients |
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 Therapy Clinic/Center
- Madison, WI
- NPI 1295923308
-
- Physical Therapist
- Fitchburg, WI
- NPI 1326687187
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1659440709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 S WHITNEY WAY STE 200",
"city": "MADISON",
"state": "WI",
"postal_code": "537054656",
"telephone_number": "608-238-1312",
"fax_number": "608-238-1464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 S WHITNEY WAY STE 200",
"city": "MADISON",
"state": "WI",
"postal_code": "537054656",
"telephone_number": "608-238-1312",
"fax_number": "608-238-1464"
}
],
"practiceLocations": [
{
"address_1": "1201 N Clark St",
"address_2": "Suite 202",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606102270",
"country_code": "US",
"telephone_number": "312-944-7595",
"fax_number": "312-944-7593",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURKARD",
"first_name": "STACI",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-06",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "IL",
"license": "070.008022",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.