Organization Active NPI

Burk Physical Therapy and Rehabilitation

  • Specialist
  • Ellwood City, PA
National Provider Identifier
1699851691
Registry record updated Aug 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
BURK PHYSICAL THERAPY AND REHABILITATION
Practice address
1677 State Route 65
Ellwood City, PA 16117
Phone
(724) 752-2716
Fax
(724) 752-0990
NPI assigned
Oct 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2014

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

Authorized official

Name
Frank Mars
Title
Office Manager
Phone
(724) 752-2716

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X PA Primary

Addresses

Primary practice location

1677 State Route 65
Ellwood City, PA 16117

Mailing address

1677 State Route 65
Ellwood City, PA 16117
Phone (724) 752-2716

Other identifiers 1

IdentifierTypeStateIssuer
185564OtherPAHIGHMARK

National Provider Directory

National Provider Directory

Locations

48462 Bell School Rd
Ste D
East Liverpool, OH 43920
Phone (330) 385-5417

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408060800000",
    "number": "1699851691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1677 STATE ROUTE 65",
            "city": "ELLWOOD CITY",
            "state": "PA",
            "postal_code": "16117",
            "telephone_number": "724-752-2716",
            "fax_number": "724-752-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1677 STATE ROUTE 65",
            "city": "ELLWOOD CITY",
            "state": "PA",
            "postal_code": "16117",
            "telephone_number": "724-752-2716",
            "fax_number": "724-752-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURK PHYSICAL THERAPY AND REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2014-08-15",
        "status": "A",
        "authorized_official_last_name": "MARS",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "724-752-2716"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "185564",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellwood City, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2014; 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.