Individual provider Active NPI

Bryan Burch, P.T.

  • Physical Therapist
  • Redding, CA
National Provider Identifier
1770628125
Registry record updated Feb 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT10998 Issued in CA
Practice address
320 Hartnell Ave
Redding, CA 96002-1846
Phone
(530) 226-9242
Fax
(530) 226-9070
NPI assigned
Feb 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2017

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 PT10998 CA Primary

Addresses

Primary practice location

320 Hartnell Ave
Redding, CA 96002-1846

Mailing address

320 Hartnell Ave
Suite a
Redding, CA 96002-1846
Phone (530) 226-9242

Other identifiers 1

IdentifierTypeStateIssuer
PT0109980MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120119000844 CA Practitioner - Physical Therapist in Private Practice 6507877230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Oklahoma College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Burch Physical Therapy, Inc.Group PAC ID 2961438569, 4 clinicians

Practice addresses (Care Compare)

85 Hartnell Ave
Suite 300
Redding, CA 96002-1888
Phone (530) 226-9242

Merit-based Incentive Payment System (MIPS)

Final score
88.84 of 100Reported as group
Quality
90
Improvement activities
40
Cost
72.05

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT10998CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Burch Physical Therapy, Inc. Physical Therapist CurrentSince Feb 15, 1995 Accepting new patients
Redding Rancheria Past Accepting new patients

Locations

405 Redcliff Dr
Ste 100
Redding, CA 96002
Phone (530) 226-9242

320 Hartnell Ave
Redding, CA 96002
Phone (530) 226-9242

320 Hartnell Ave
Ste A
Redding, CA 96002

85 Hartnell Ave
Ste 300
Redding, CA 96002
Phone (530) 226-9242

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486684800000",
    "number": "1770628125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 HARTNELL AVE",
            "address_2": "SUITE A",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021846",
            "telephone_number": "530-226-9242",
            "fax_number": "530-226-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 HARTNELL AVE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021846",
            "telephone_number": "530-226-9242",
            "fax_number": "530-226-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURCH",
        "first_name": "BRYAN",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2017-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT10998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PT0109980",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2017; 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.