Sally Elizabeth Burk, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

00620 Issued in LA

Practice address

200 N Military Rd
Slidell, LA 70461-1624

Phone

(985) 641-2996

Fax

(985) 639-8014

NPI assigned

Oct 12, 2006

Last updated

Jul 30, 2013By the provider in NPPES

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

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.

• BBV, LLC

  dba WellnessWorks of CrossGates

  • Physical Therapist
  • Slidell, LA
  • NPI 1174607808
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375142400000",
    "number": "1891884995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 BURK STATION RD",
            "city": "CARRIERE",
            "state": "MS",
            "postal_code": "394267035",
            "telephone_number": "601-799-0248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N MILITARY RD",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704611624",
            "telephone_number": "985-641-2996",
            "fax_number": "985-639-8014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURK",
        "first_name": "SALLY",
        "middle_name": "ELIZABETH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2013-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "MS1475",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "00620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garrett Riley Bunnell, PNP
• Jay Buras, CRNA
• Kelly Elizabeth Buras
• Sydney Jo Burchfield, MSN, NP-C
• Emily C Burglass
• Krishonna Ramia Burke, CPT, CCMA
• Sunceri Marie Burke, MSN, AGACNP-BC, RN
• Ahnyel Burkes, RN
• Donna Renee Burks
• Julie Burlett, PHARMD

• Physical Therapist in Slidell, LA
• Providers in Slidell, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; 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.