Individual provider Active NPI

Emily Catherine Burghardt, PT,DPT

  • Physical Therapist
  • Sammamish, WA
National Provider Identifier
1861911463
Registry record updated Sep 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60768579 Issued in WA
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, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2017

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 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

Enrollment IDStateProvider typePAC IDDetails
I20221109000455 VT Practitioner - Physical Therapist in Private Practice 6204101215 Reassigns benefits to 1 organization

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
Leclair Therapy IncGroup PAC ID 4688631211, 17 clinicians

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

LicenseStateTypeSpecialty
PT60768579WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Leclair Therapy, Inc. Physical Therapist CurrentSince Nov 1, 2022 Accepting new patients
Paquette Therapy Corporation Physical Therapist PastSince Nov 1, 2022 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.

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.

Verify at the official NPI Registry.