Active NPI
Kate Christine Burdick, DPT
- Physical Therapist
- Chicago, IL
National Provider Identifier
1700159688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.018984
- Practice address
- 100 E Walton St
Suite 700
Chicago, IL 60611-1448 - Phone
- (312) 642-3963
- Fax
- (312) 642-3966
- NPI assigned
- Feb 22, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070.018984 | IL | Primary |
Addresses
Primary practice location
100 E Walton St
Suite 700
Chicago, IL 60611-1448
Mailing address
PO Box 228
Willow Springs, IL 60480-0228
Phone (312) 642-3963
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070.018984 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Suburban Open MRI of Orland, LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Radiology Clinic/Center
- Orland Hills, IL
- NPI 1881639425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395187200000",
"number": "1700159688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 228",
"city": "WILLOW SPRINGS",
"state": "IL",
"postal_code": "604800228",
"telephone_number": "312-642-3963",
"fax_number": "312-642-3966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E WALTON ST",
"address_2": "SUITE 700",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606111448",
"telephone_number": "312-642-3963",
"fax_number": "312-642-3966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURDICK",
"first_name": "KATE",
"middle_name": "CHRISTINE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-22",
"last_updated": "2014-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.018984",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.