Active NPI
Jennifer Lynne Burge, PT
- Physical Therapist
- Des Moines, IA
National Provider Identifier
1770741167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 02974
- Practice address
- 4911 SW 19TH Street
Fleur Heights Center for Wellness and Rehabilitation
Des Moines, IA 50315 - Phone
- (515) 285-2559
- Fax
- (515) 256-4155
- NPI assigned
- Jun 2, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 02974 | IA | Primary |
Addresses
Primary practice location
4911 SW 19TH Street
Fleur Heights Center for Wellness and Rehabilitation
Des Moines, IA 50315
Mailing address
4911 SW 19TH Street
Fleur Heights Center for Wellness and Rehabilitation
Des Moines, IA 50315
Phone (515) 285-2559
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02974 | IA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212364800000",
"number": "1770741167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4911 SW 19TH STREET",
"address_2": "FLEUR HEIGHTS CENTER FOR WELLNESS AND REHABILITATION",
"city": "DES MOINES",
"state": "IA",
"postal_code": "50315",
"telephone_number": "515-285-2559",
"fax_number": "515-256-4155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4911 SW 19TH STREET",
"address_2": "FLEUR HEIGHTS CENTER FOR WELLNESS AND REHABILITATION",
"city": "DES MOINES",
"state": "IA",
"postal_code": "50315",
"telephone_number": "515-285-2559",
"fax_number": "515-256-4155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURGE",
"first_name": "JENNIFER",
"middle_name": "LYNNE",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-02",
"last_updated": "2008-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "02974",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.