Jennifer L Burke
Individual provider Active NPI Physical Therapist · Wilton, IA
NPI 1730401977 · NPPES record last updated Feb 15, 2010
Key facts
- NPI
- 1730401977
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 004496 (IA)
- Practice address
- 400 Ovesen Dr
Wilton, IA 52778-9612 - Phone
- (563) 732-4318
- NPI assigned
- Feb 15, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- University of Iowa, RJ & L Carver College of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Taylor Physical Therapy Associates LLC
Practice addresses (Care Compare)
121 Tower St
Denver, IA 50622-2201
Phone (319) 406-0185
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100518000797 | IA | Practitioner - Physical Therapist in Private Practice | 8921137654 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004496 | IA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Taylor Physical Therapy Associates LLC | Physical Therapist | Current |
Accepting new patients |
| Taylor Physical Therapy Associates LLC | Physical Therapist | Current | Accepting new patients |
Locations
121 Tower St
Denver, IA 50622
Phone (319) 406-0185
1306 Highway 57
Ste B
Parkersburg, IA 50665
Phone (319) 346-9783
100 Wartburg Blvd
Ste 1392
Waverly, IA 50677
Phone (319) 346-9783
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 004496 | IA | Yes |
Addresses
Primary practice location
400 Ovesen Dr
Wilton, IA 52778-9612
Mailing address
1490 Vandello Cir
North Liberty, IA 52317-8045
Phone (641) 330-6825
Other providers in Wilton, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 15, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.