Active NPI
Mary Bielefeld Burke, PT
- Physical Therapist
- Wauwatosa, WI
National Provider Identifier
1780243436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3720-024
- Practice address
- 9200 W Wisconsin Ave
Wauwatosa, WI 53226-3522 - Phone
- (414) 805-5000
- NPI assigned
- Jun 6, 2019
- 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 | 3720-024 | WI | Primary |
Addresses
Primary practice location
9200 W Wisconsin Ave
Wauwatosa, WI 53226-3522
Mailing address
3850 S Town Rd
New Berlin, WI 53151-5030
Phone (262) 385-5780
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3720-024 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559779200000",
"number": "1780243436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3850 S TOWN RD",
"city": "NEW BERLIN",
"state": "WI",
"postal_code": "531515030",
"telephone_number": "262-385-5780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9200 W WISCONSIN AVE",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532263522",
"telephone_number": "414-805-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKE",
"first_name": "MARY",
"middle_name": "BIELEFELD",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-06",
"last_updated": "2019-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "3720-024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wauwatosa, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.