Individual provider Active NPI

Cameron Burkard

  • Physical Therapist
  • Oskaloosa, IA
National Provider Identifier
1679304836
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
123720 Issued in IA
Practice address
1412 A Ave W Ste a
Oskaloosa, IA 52577-1970
Phone
(641) 676-3535
NPI assigned
Aug 9, 2024
Last updated
Aug 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 123720 IA Primary

Addresses

Primary practice location

1412 A Ave W Ste a
Oskaloosa, IA 52577-1970

Mailing address

604 Liberty St Ste 227
Pella, IA 50219-1776
Phone (641) 204-0046

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240916000544 IA Practitioner - Physical Therapist in Private Practice 5395286595 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Work Systems Rehab PCGroup PAC ID 5193619625, 35 clinicians

Practice addresses (Care Compare)

1412 A Ave W a
Kinetic Edge Physical Therapy
Oskaloosa, IA 52577-1970
Phone (641) 676-3535

516 3Rd St
Des Moines, IA 50309-1774
Phone (515) 309-4706

551 N F St K
Kinetic Edge Physical Therapy
Albia, IA 52531-1240
Phone (641) 932-0250

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
123720IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Work Systems Rehab, PC Physical Therapist CurrentSince Aug 19, 2024 Accepting new patients

Locations

516 3rd St
Des Moines, IA 50309
Phone (515) 309-4706

1412 A Ave W
Ste A
Oskaloosa, IA 52577
Phone (641) 676-3535

604 Liberty St
Ste 227
Pella, IA 50219
Phone (641) 204-0046

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1679304836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 LIBERTY ST STE 227",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "502191776",
            "telephone_number": "641-204-0046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 A AVE W STE A",
            "city": "OSKALOOSA",
            "state": "IA",
            "postal_code": "525771970",
            "telephone_number": "641-676-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKARD",
        "first_name": "CAMERON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-09",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "123720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oskaloosa, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.