Nicole Burkett, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

27588 Issued in FL

Practice address

639 Sherwood Dr
Altamonte Springs, FL 32701-5437

Phone

(407) 451-1143

NPI assigned

Feb 12, 2020

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1770116212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 SHERWOOD DR",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327015437",
            "telephone_number": "407-451-1143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 SHERWOOD DR",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327015437",
            "telephone_number": "407-451-1143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKETT",
        "first_name": "NICOLE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "27588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudio Buonfiglio, DMD
• Ampai Burbach
• Tommie L. Burchfield, DMD
• Arnold Diaz Burdeos, RPT
• John Burke, MD, PHD
• Alaysia Ti'Onne Burns, RBT
• Emma Jane Burns
• Daryl Burrell, MS
• Chelsea Burrows, LCSW
• Juliet Dana Burry, M.D.

• Physical Therapy Assistant in Altamonte Springs, FL
• Providers in Altamonte Springs, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.

Verify at the official NPI Registry.