Active NPI
Emily Catherine Burghardt, PT,DPT
- Physical Therapist
- Sammamish, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT60768579
- Practice address
- 2850 228TH Ave SE Ste B
Sammamish, WA 98075-9328 - Phone
- (425) 391-4488
- Fax
- (425) 391-8287
- NPI assigned
- Sep 14, 2017
- Last updated
- Sep 14, 2017
- 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 | PT60768579 | WA | Primary |
Addresses
Primary practice location
2850 228TH Ave SE Ste B
Sammamish, WA 98075-9328
Mailing address
2850 228TH Ave SE Ste B
Sammamish, WA 98075-9328
Phone (425) 391-4488
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Vermont College of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
21 Carmichael St
Essex Junction, VT 05452-3100
Phone (802) 878-9572
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT60768579 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leclair Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
| Paquette Therapy Corporation | Physical Therapist | Past | Accepting new patients |
Locations
1 Towne Market Pl
Essex Junction, VT 05452
Phone (802) 655-1737
1 Towne Market Pl
Unit 33
Essex Junction, VT 05452
Phone (802) 878-9572
21 Carmichael St
Essex Junction, VT 05452
Phone (802) 878-9572
Organizations & group practices 2
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.
-
- Physical Therapist
- Essex JCT, VT
- NPI 1821002189
-
dba Essex Aquatic & Rehab Center
- Specialist
- Essex JCT, VT
- NPI 1790741239
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505347200000",
"number": "1861911463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2850 228TH AVE SE STE B",
"city": "SAMMAMISH",
"state": "WA",
"postal_code": "980759328",
"telephone_number": "425-391-4488",
"fax_number": "425-391-8287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2850 228TH AVE SE STE B",
"city": "SAMMAMISH",
"state": "WA",
"postal_code": "980759328",
"telephone_number": "425-391-4488",
"fax_number": "425-391-8287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURGHARDT",
"first_name": "EMILY",
"middle_name": "CATHERINE",
"credential": "PT,DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-14",
"last_updated": "2017-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60768579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sammamish, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2017; 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.