Individual provider Active NPI

Burak Seyrek, DPT

  • Physical Therapist
  • Brick, NJ
National Provider Identifier
1861270175
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02213300 Issued in NJ
Practice address
489 Brick Blvd
Brick, NJ 08723-6055
Phone
(732) 920-0880
NPI assigned
Sep 18, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA02213300 NJ Primary

Addresses

Primary practice location

489 Brick Blvd
Brick, NJ 08723-6055

Mailing address

489 Brick Blvd
Brick, NJ 08723-6055
Phone (732) 920-0880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240522000202 NJ Practitioner - Physical Therapist in Private Practice 2769824838 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab Network IncGroup PAC ID 3476539776, 658 clinicians
Staats Physical Therapy LLCGroup PAC ID 9739253204, 2 clinicians

Practice addresses (Care Compare)

257 Broad St
Suite 140
Matawan, NJ 07747-3226
Phone (732) 696-7060

489 Brick Blvd
Brick, NJ 08723-6055
Phone (732) 920-0880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA02213300NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Staats Physical Therapy, LLC Physical Therapist CurrentSince Mar 24, 2024 Accepting new patients
Ivyrehab Network, Inc. Physical Therapist CurrentSince Nov 25, 2024 Accepting new patients
Ivyrehab Network Inc. Physical Therapist CurrentSince Nov 25, 2024 Accepting new patients

Locations

731 Lacey Rd
Ste 3
Forked River, NJ 08731
Phone (609) 242-6780

454 Passaic St
Hackensack, NJ 07601
Phone (201) 488-7905

257 Broad St
Ste 140
Matawan, NJ 07747
Phone (732) 696-7060

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1861270175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "489 BRICK BLVD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087236055",
            "telephone_number": "732-920-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 BRICK BLVD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087236055",
            "telephone_number": "732-920-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEYREK",
        "first_name": "BURAK",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02213300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.