Active NPI
Daniel Burk
- Physical Therapist
- Snyder, TX
National Provider Identifier
1861945495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12362060
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 364144101 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12362060 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Burk Endeavors | Physical Therapist | Current | 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.