Active NPI
Jonathan Robert Burtoft, PT, DPT, ATC, CSCS
- Athletic Trainer
- Kettering, OH
National Provider Identifier
1730515461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 004149
- Practice address
- 4403 Far Hills Ave
Kettering, OH 45429-2405 - Phone
- (937) 395-3900
- NPI assigned
- Sep 26, 2013
- Last updated
- Jan 31, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 004149 | OH | Primary |
Addresses
Primary practice location
4403 Far Hills Ave
Kettering, OH 45429-2405
Mailing address
4735 Millridge Rd
Dayton, OH 45424-3665
Phone (574) 527-3017
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 |
|---|---|---|---|
| 004149 | OH | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580428800000",
"number": "1730515461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4735 MILLRIDGE RD",
"city": "DAYTON",
"state": "OH",
"postal_code": "454243665",
"telephone_number": "574-527-3017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4403 FAR HILLS AVE",
"city": "KETTERING",
"state": "OH",
"postal_code": "454292405",
"telephone_number": "937-395-3900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURTOFT",
"first_name": "JONATHAN",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "PT, DPT, ATC, CSCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-26",
"last_updated": "2020-01-31",
"certification_date": "2020-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OH",
"license": "004149",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kettering, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.