Michael Julian Burke, SET, SSC, CFT

Primary specialty

KinesiotherapistTaxonomy code 226300000X

License

391941 Issued in OH

Practice address

134 Potomac Dr
Elyria, OH 44035-4418

Phone

(419) 788-0718

NPI assigned

Aug 11, 2013

Last updated

Aug 11, 2013By 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 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1376179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376179200000",
    "number": "1821421140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 POTOMAC DR",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440354418",
            "telephone_number": "419-788-0718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 POTOMAC DR",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440354418",
            "telephone_number": "419-788-0718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "MICHAEL",
        "middle_name": "JULIAN",
        "name_prefix": "Mr.",
        "credential": "SET, SSC, CFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-11",
        "last_updated": "2013-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "OH",
            "license": "0140900",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "391942",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "391940",
            "primary": false
        },
        {
            "code": "226300000X",
            "taxonomy_group": "",
            "desc": "Kinesiotherapist",
            "state": "OH",
            "license": "391941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Brutout
• Darby Shae Bryce, PHARMD
• Veronica G Buchanan
• Melissa Buchholz
• Alfredo Bucio
• Tiffany Paige Burnsworth
• John Finley Burton, LISW
• Darius Omar Butler
• Kathleen M Bylewski, LPC
• Byong J. Ahn, M.D. & Associates (Byong J. Ahn, M.D.)

• Kinesiotherapist in Elyria, OH
• Providers in Elyria, OH by specialty
• Kinesiotherapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.