Individual provider Active NPI

Emily Burkhart, M.S. CCC-SLP

  • Speech-Language Pathologist
  • North Myrtle Beach, SC
National Provider Identifier
1760851117
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
6174 Issued in SC
Practice address
1021 2ND Ave N Ste 6
North Myrtle Beach, SC 29582-3200
Phone
(843) 286-5168
NPI assigned
Sep 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 6174 SC Primary

Addresses

Primary practice location

1021 2ND Ave N Ste 6
North Myrtle Beach, SC 29582-3200

Mailing address

1021 2ND Ave N Ste 6
North Myrtle Beach, SC 29582-3200
Phone (843) 286-5168

Other practice location 1

1650 Phillips Rd
Tallahassee, FL 32308-5304
Phone (850) 942-9868

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.elitetherapyclinic.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240702004251 SC Practitioner - Qualified Speech Language Pathologist 7012451917 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Hand and Upper Extremity TherapyGroup PAC ID 3678904620, 6 clinicians

Practice addresses (Care Compare)

1021 2ND Ave N
Suite 6
North Myrtle Beach, SC 29582-3200
Phone (843) 286-5168

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
6174SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Hand and Upper Extremity Therapy CurrentSince Jun 10, 2024 Accepting new patients

Locations

1021 2nd Ave N
Ste 6
North Myrtle Beach, SC 29582
Phone (304) 676-2077

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1760851117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 2ND AVE N STE 6",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295823200",
            "telephone_number": "843-286-5168",
            "fax_number": "844-318-8980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 2ND AVE N STE 6",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295823200",
            "telephone_number": "843-286-5168"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1650 Phillips Rd",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323085304",
            "country_code": "US",
            "telephone_number": "850-942-9868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURKHART",
        "first_name": "EMILY",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-16",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "6174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.elitetherapyclinic.com",
            "affiliation": "N",
            "address_1": "1021 2nd Ave N Ste 6",
            "city": "North Myrtle Beach",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295823200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; 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.