Individual provider Active NPI

Robert W Burton, PT OCS

  • Physical Therapist
  • La Fayette, NY
National Provider Identifier
1730110339
Registry record updated Feb 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0060632 Issued in NY
Practice address
2390 RT 11 South
Lafayette, NY 13084
Phone
(315) 677-9323
Fax
(315) 677-9325
NPI assigned
Jul 5, 2006
Last updated
Feb 15, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2010

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 0060632 NY Primary

Addresses

Primary practice location

2390 RT 11 South
Lafayette, NY 13084

Mailing address

2390 RT 11 South
Lafayette, NY 13084
Phone (315) 677-9323

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

LicenseStateTypeSpecialty
6063NYMDSpecialist
0060632NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Riccardi & Burton Physical Therapy P.C. Physical Therapist PastSince Aug 1, 2001 Accepting new patients
Lafayette Physical Therapy LLC Physical Therapist Past 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, 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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266192000000",
    "number": "1730110339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2390 RT 11 SOUTH",
            "city": "LAFAYETTE",
            "state": "NY",
            "postal_code": "13084",
            "telephone_number": "315-677-9323",
            "fax_number": "315-677-9325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2390 RT 11 SOUTH",
            "city": "LAFAYETTE",
            "state": "NY",
            "postal_code": "13084",
            "telephone_number": "315-677-9323",
            "fax_number": "315-677-9325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURTON",
        "first_name": "ROBERT",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "PT OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2010-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0060632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Fayette, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2010; 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.