Jill E Burrell, CPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

000756 Issued in NY

Practice address

4 Maryland Ave
Glen Cove, NY 11542-2420

Phone

(516) 200-5511

NPI assigned

Jul 5, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454630400000",
    "number": "1881892438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 MARYLAND AVE",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422420",
            "telephone_number": "516-200-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 MARYLAND AVE",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422420",
            "telephone_number": "516-200-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURRELL",
        "first_name": "JILL",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "CPTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-05",
        "last_updated": "2016-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "000756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren-Ashley Brugger, M.A., MFT
• Maria Buchholtz, LCSW
• Joan M Buckley, NP
• Joseph Michael Buono, DDS
• Suzanne Hu Burge, LCSW
• Sumaita Sadida Bushra, MD
• Giovanna Caggiano, PHD
• Samantha Caiozzo
• Ann-Marie E Cairo, M.S., CCC-SLP
• Dolores Jeanne Calcaterra, PSY.D.

• Physical Therapy Assistant in Glen Cove, NY
• Providers in Glen Cove, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2016; 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.