Individual provider Active NPI

Staci Burkard, P.T.

  • Physical Therapist
  • Madison, WI
National Provider Identifier
1659440709
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20130705000181 WI Practitioner - Physical Therapist in Private Practice 8022258532 Reassigns benefits to 1 organization

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
Integrated Physical Therapy LLCGroup PAC ID 0749360097, 7 clinicians

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

LicenseStateTypeSpecialty
070.008022ILMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Merit Telehealth, LLC Physical Therapist CurrentSince Dec 29, 2019 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.

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.

Verify at the official NPI Registry.