Individual provider Active NPI

David Ross Buerck, P.T.

  • Physical Therapist
  • Farmington, MO
National Provider Identifier
1891021465
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
112451 Issued in MO
Practice address
602 Maple Valley Dr
Farmington, MO 63640-1976
Phone
(573) 756-2999
Fax
(573) 756-6195
NPI assigned
Nov 2, 2009
Last updated
Mar 17, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2023

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 112451 MO Primary

Addresses

Primary practice location

602 Maple Valley Dr
Farmington, MO 63640-1976

Mailing address

602 Maple Valley Dr
Farmington, MO 63640-1976
Phone (573) 756-2999

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251021002692 MO Practitioner - Physical Therapist in Private Practice 5991831711 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

602 Maple Valley Dr
Farmington, MO 63640-1976

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
112451MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Potential Therapy Services LLC CurrentSince Sep 23, 2025 Accepting new patients
Farmington Sports and Rehabilitation Joint Venture CurrentSince Jan 24, 2010 Accepting new patients

Locations

55 Nesbit Dr
Bonne Terre, MO 63628
Phone (573) 358-1700

602 Maple Valley Dr
Farmington, MO 63640
Phone (573) 756-2999

60 Plaza Dr
Ste Genevieve, MO 63670
Phone (573) 608-5058

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": "1257120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1891021465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 MAPLE VALLEY DR",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401976",
            "telephone_number": "573-756-2999",
            "fax_number": "573-756-6195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 MAPLE VALLEY DR",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401976",
            "telephone_number": "573-756-2999",
            "fax_number": "573-756-6195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUERCK",
        "first_name": "DAVID",
        "middle_name": "ROSS",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-02",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "112451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; 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.