Madison Mackenzie Burke, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

292582 Issued in CA

Practice address

188 S de Lacey Ave
Pasadena, CA 91105-2053

Phone

(626) 360-2717

Fax

(626) 360-3717

NPI assigned

Jun 3, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Elevated Physical Therapy

  • Physical Therapist
  • Pasadena, CA
  • NPI 1881468817
  NPD Authorized official
• Albert Babanian, Inc.

  dba Active Moving Body Physical Therapy

  • Physical Therapist
  • Glendale, CA
  • NPI 1598100927
  NPD

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

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1881043537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 S DE LACEY AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052053",
            "telephone_number": "626-360-2717",
            "fax_number": "626-360-3717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 S DE LACEY AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052053",
            "telephone_number": "626-360-2717",
            "fax_number": "626-360-3717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "MADISON",
        "middle_name": "MACKENZIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-03",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305210301",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "292582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Burdis
• Lauren R Burke-Nicola, LMFT
• Daniel Lincoln Burke IV
• Kamali A Burke
• Lennis P Burke Jr., MD
• Sydney Burkhardt, LMFT
• Farzauq Burki, MD
• Auset Burks
• Analiza Prima Burnett
• Walter Hynan Burnham Jr., MD

• Physical Therapist in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.