Elizabeth Carroll Burkhardt, ATC, LAT, MS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

RT008060 Issued in PA

Practice address

114 W Morton St
Bethlehem, PA 18015-1636

Phone

(570) 422-3211

NPI assigned

Feb 4, 2022

Sex

Female

Sole proprietor

No

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1679227177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 W MORTON ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 W MORTON ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151636",
            "telephone_number": "570-422-3211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3149 Chester Ave",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180202866",
            "country_code": "US",
            "telephone_number": "570-852-0523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURKHARDT",
        "first_name": "ELIZABETH",
        "middle_name": "CARROLL",
        "name_prefix": "Miss",
        "credential": "ATC, LAT, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-04",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT008060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Burdi Chiropractic and Rehabilitation
• Nathan Burk
• Elise Burkett
• Kevin Burkevich
• Barbara B Burkhardt, MED
• John Andrew Burkins, MD
• Brian Prentice Burlew, MD
• Erica-Michele Burmeister-Jackson, LPC, NCC
• Deborah Burnett-Olsen, CRNA
• Alexandra Kaitlyn Burns, MS, LAT,ATC

• Athletic Trainer in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Athletic Trainer in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; 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.