Individual provider Active NPI

Jackie L Burton, MPT

  • Physical Therapist
  • Boca Raton, FL
National Provider Identifier
1760719496
Registry record updated Nov 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT16372 Issued in FL
Practice address
22373 Treetop Cir
Boca Raton, FL 33433-5349
Phone
(561) 391-1693
NPI assigned
Nov 18, 2009
Last updated
Nov 24, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2009

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 PT16372 FL Primary

Addresses

Primary practice location

22373 Treetop Cir
Boca Raton, FL 33433-5349

Mailing address

22373 Treetop Cir
Boca Raton, FL 33433-5349
Phone (561) 391-1693

Other identifiers 1

IdentifierTypeStateIssuer
PT16372OtherFLPT LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160728001555 FL Practitioner - Physical Therapist in Private Practice 0244523249 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Van Pelt and Associates Physical Therapy Services PAGroup PAC ID 1951463454, 8 clinicians

Practice addresses (Care Compare)

20371 Country Club Blvd
Boca Raton, FL 33434
Phone (561) 997-5210

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT16372FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Van Pelt & Associates Physical Therapy Services PA Physical Therapist CurrentSince Oct 30, 2017 Accepting new patients
Ortho Florida, LLC CurrentSince Sep 1, 2016 Accepting new patients
Ortho Florida, LLC CurrentSince Sep 1, 2016 Accepting new patients
Arthritis Associates of S Florida CurrentSince Oct 22, 2016 Accepting new patients
Orthopedic Center of Palm Beach County, LLC Past Accepting new patients
ENT and Allergy Associates of Florida, LLC PastSince Jul 23, 2020 Accepting new patients

Locations

1601 Clint Moore Rd
Ste 125
Boca Raton, FL 33487
Phone (561) 395-5733

1601 Clint Moore Rd
Ste 135
Boca Raton, FL 33487
Phone (561) 300-1792

3848 Fau Blvd
Ste 105
Boca Raton, FL 33431
Phone (561) 395-2920

5130 Linton Blvd
Ste F1
Delray Beach, FL 33484
Phone (561) 495-0600

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IFGJDD

Organizations & group practices 6

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": "1258502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259020800000",
    "number": "1760719496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22373 TREETOP CIR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334335349",
            "telephone_number": "561-391-1693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22373 TREETOP CIR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334335349",
            "telephone_number": "561-391-1693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURTON",
        "first_name": "JACKIE",
        "middle_name": "L",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-18",
        "last_updated": "2009-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT16372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE NUMBER",
            "identifier": "PT16372",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2009; 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.