Walter Robert Burbella, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

QA00798800 Issued in NJ

Practice address

265 Broad St
Suite 4
Bloomfield, NJ 07003-2764

Phone

(973) 429-3001

Fax

(973) 429-2033

NPI assigned

Apr 13, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Trinity Rehab Somerset PAGroup PAC ID 0547540809, 57 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Trinity Rehab Somerset PA

  • Physical Therapist
  • Somerset, NJ
  • NPI 1245789064
  Medicare reassignment Care Compare group NPD
• Trinity Rehab Somerset PA

  dba Trinity Rehab Old Bridge

  • Physical Therapy Clinic/Center
  • East Brunswick, NJ
  • NPI 1689196040
  NPD
• Trinity Rehab Somerset PA

  dba Trinity Rehab North Wales PA

  • Physical Therapy Clinic/Center
  • North Wales, PA
  • NPI 1144892852
  NPD
• A Team Approach Physical Therapy Center

  • Rehabilitation Clinic/Center
  • Bloomfield, NJ
  • NPI 1467499442
  NPD (past)
• Maureen Broderick Wilhelm LPT PA

  dba Sports Training Physical Therapy

  • Physical Therapist
  • Millburn, NJ
  • NPI 1114963063
  NPD (past)
• Park Physical Therapy Associates,Inc.

  • Physical Therapist
  • Highland Park, NJ
  • NPI 1194872028
  NPD (past)

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790909240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 ADAMS AVE",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070162452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 BROAD ST",
            "address_2": "SUITE 4",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070032764",
            "telephone_number": "973-429-3001",
            "fax_number": "973-429-2033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURBELLA",
        "first_name": "WALTER",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "QA00798800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brookside Family Dental Corp
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• Alberto A Brunetti, RPH
• Caroline Marie Buczynski, PA-C
• Mariel Buque, PH.D.
• Burgess Pharmacy, Inc (Burgess Chemist)
• Nathanael Valine Burrell, DPT
• Mikyle Shakira Byrd-Vaughn, ND
• Basilio Mario Reyes Cabilao, PT
• Jennifer Luisa Cabral

• Physical Therapist in Bloomfield, NJ
• Providers in Bloomfield, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.