Active NPI
Michael Burgess, PT, DPT
- Physical Therapist
- Candler, NC
National Provider Identifier
1780469189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12552PT
- Practice address
- 1572 Sand Hill Rd Ste 101
Candler, NC 28715-0470 - Phone
- (828) 552-5342
- Fax
- (828) 641-9303
- NPI assigned
- Aug 25, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P22602 | NC | |
| Physical Therapist | 225100000X | 12552PT | SC | Primary |
| Physical Therapist | 225100000X | CP052045T | NC |
Addresses
Primary practice location
1572 Sand Hill Rd Ste 101
Candler, NC 28715-0470
Mailing address
408 Higuera St Ste 200
San Luis Obispo, CA 93401-6135
Phone (805) 788-0805
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of South Carolina School of Medicine, Greenville, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
107 A Aaron Tippin Dr
Greer, SC 29650-1217
Phone (864) 416-7131
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P22602 | NC | MD | Physical Therapist |
| 12552PT | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Higher Good LLC | Physical Therapist | Current | Accepting new patients |
Locations
52 Bear Dr
Ste B
Greenville, SC 29605
Phone (864) 900-9342
107A Aaron Tippin Dr
Greer, SC 29650
Phone (864) 416-7131
Organizations & group practices 1
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.
-
- Physical Therapist
- Greer, SC
- NPI 1689325813
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782691200000",
"number": "1780469189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 HIGUERA ST STE 200",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934016135",
"telephone_number": "805-788-0805",
"fax_number": "805-788-0845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1572 SAND HILL RD STE 101",
"city": "CANDLER",
"state": "NC",
"postal_code": "287150470",
"telephone_number": "828-552-5342",
"fax_number": "828-641-9303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURGESS",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-08-25",
"last_updated": "2026-06-29",
"certification_date": "2026-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P22602",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "12552PT",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "CP052045T",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Candler, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; 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.