Jennifer L Burke

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

004496 Issued in IA

Practice address

400 Ovesen Dr
Wilton, IA 52778-9612

Phone

(563) 732-4318

NPI assigned

Feb 15, 2010

Last updated

Feb 15, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

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 LLCGroup PAC ID 1951405174, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Taylor Physical Therapy Associates LLC

  • Physical Therapist
  • Sumner, IA
  • NPI 1861591745
  Medicare reassignment Care Compare group NPD
• Taylor Physical Therapy Associates LLC

  • Physical Therapist
  • Nashua, IA
  • NPI 1437657293
  NPD

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

{
    "created_epoch": "1266192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266192000000",
    "number": "1730401977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 VANDELLO CIR",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523178045",
            "telephone_number": "641-330-6825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 OVESEN DR",
            "city": "WILTON",
            "state": "IA",
            "postal_code": "527789612",
            "telephone_number": "563-732-4318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-15",
        "last_updated": "2010-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "004496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 5TH Street Chiropractic and Health Center
• Ann Marie Augustine, PHARMD
• James Blouse, PA-C
• Emma Braunbeck
• Campbell Chiropractic, PC
• Ryan Thomas Chizek, DPT
• City of Wilton (Wilton Fire Department)
• Sarah Lynn Costello, DPT
• Joshua Crow, DPT

• Physical Therapist in Wilton, IA
• Providers in Wilton, IA by specialty
• Physical Therapist in Iowa

• 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.
• 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.