Organization Active NPI

Burlingame Physiotherapy, LLC

  • Physical Therapist
  • Greenwood Village, CO
National Provider Identifier
1770665325
Registry record updated Jan 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5834 Issued in CO
Legal business name
BURLINGAME PHYSIOTHERAPY, LLC
Practice address
6041 S Syracuse Way
Suite 307
Greenwood Village, CO 80111-4771
Phone
(720) 482-0071
Fax
(720) 482-0081
NPI assigned
Oct 20, 2006
Last updated
Jan 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2014

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

Authorized official

Name
Judy L. Burlingame, PT, DPT, OCSNPI 1467493262
Title
Owner/PT
Phone
(720) 482-0071

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 5834 CO Primary

Addresses

Primary practice location

6041 S Syracuse Way
Suite 307
Greenwood Village, CO 80111-4771

Mailing address

6041 S Syracuse Way
Suite 307
Greenwood Village, CO 80111-4771
Phone (720) 482-0071

Other identifiers 1

IdentifierTypeStateIssuer
BU667610OtherCOB/C AND B/S PROVIDER ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120524000037 CO Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5991968265 Receives reassigned benefits from 1 practitioner
Practice locations: Greenwood Village, CO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389052800000",
    "number": "1770665325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6041 S SYRACUSE WAY",
            "address_2": "SUITE 307",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801114771",
            "telephone_number": "720-482-0071",
            "fax_number": "720-482-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6041 S SYRACUSE WAY",
            "address_2": "SUITE 307",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801114771",
            "telephone_number": "720-482-0071",
            "fax_number": "720-482-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURLINGAME PHYSIOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2014-01-07",
        "status": "A",
        "authorized_official_last_name": "BURLINGAME",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER/PT",
        "authorized_official_telephone_number": "720-482-0071",
        "authorized_official_credential": "PT, DPT,  OCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "5834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B/C AND B/S PROVIDER ID",
            "identifier": "BU667610",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.