Individual provider Active NPI

Daniel Burk

  • Physical Therapist
  • Snyder, TX
National Provider Identifier
1861945495
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12362060 Issued in TX
Practice address
2518 Avenue R
Snyder, TX 79549-2525
Phone
(325) 436-0500
Fax
(325) 436-0501
NPI assigned
Aug 1, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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 12362060 TX Primary

Addresses

Primary practice location

2518 Avenue R
Snyder, TX 79549-2525

Mailing address

2518 Avenue R
Snyder, TX 79549-2525
Phone (432) 436-0500

Other identifiers 1

IdentifierTypeStateIssuer
364144101MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161025000272 TX Practitioner - Physical Therapist in Private Practice 0244518348 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Texas Tech University Health Science Center School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Burk Endeavors 2 clinicians

Practice addresses (Care Compare)

2518 Ave R
Snyder, TX 79549-2525
Phone (325) 436-0500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12362060TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Burk Endeavors Physical Therapist CurrentSince Aug 1, 2024 Accepting new patients

Locations

2518 Avenue R
Snyder, TX 79549
Phone (325) 436-0500

Organizations & group practices 1

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": "1470009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1861945495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2518 AVENUE R",
            "city": "SNYDER",
            "state": "TX",
            "postal_code": "795492525",
            "telephone_number": "432-436-0500",
            "fax_number": "325-436-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2518 AVENUE R",
            "city": "SNYDER",
            "state": "TX",
            "postal_code": "795492525",
            "telephone_number": "325-436-0500",
            "fax_number": "325-436-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURK",
        "first_name": "DANIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-01",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "12362060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "364144101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Snyder, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.