Individual provider Active NPI

Robert Samuel Burns, DPT

  • Physical Therapist
  • Novi, MI
National Provider Identifier
1902812050
Registry record updated Nov 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501012100 Issued in MI
Practice address
21600 Novi Rd
Suite 600 D
Novi, MI 48375-5605
Phone
(248) 679-5396
Fax
(248) 679-5397
NPI assigned
Jul 31, 2006
Last updated
Nov 9, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2012

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 5501012100 MI Primary

Addresses

Primary practice location

21600 Novi Rd
Suite 600 D
Novi, MI 48375-5605

Mailing address

21600 Novi Rd
Suite 600 D
Novi, MI 48375-5605
Phone (248) 679-5396

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070827000682 MI Practitioner - Physical Therapist in Private Practice 7214029834 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novi DPT LLCGroup PAC ID 7517059132, 6 clinicians

Practice addresses (Care Compare)

21600 Novi Rd
Novi, MI 48375-5605
Phone (248) 679-5396

30180 Orchard Lake Rd
Farmington Hills, MI 48334-2266
Phone (248) 702-6725

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501012100MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Novi DPT LLC Physical Therapist CurrentSince Aug 20, 2007 Accepting new patients

Locations

18899 W 12 Mile Rd
Lathrup Village, MI 48076
Phone (248) 219-4772

21600 Novi Rd
Ste 400
Novi, MI 48375
Phone (248) 679-5396

21600 Novi Rd
Ste 600D
Novi, MI 48375
Phone (248) 679-5396

25875 Novi Rd
Ste 160
Novi, MI 48375
Phone (866) 584-9280

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, 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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352419200000",
    "number": "1902812050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21600 NOVI RD",
            "address_2": "SUITE 600 D",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483755605",
            "telephone_number": "248-679-5396",
            "fax_number": "248-679-5397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21600 NOVI RD",
            "address_2": "SUITE 600 D",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483755605",
            "telephone_number": "248-679-5396",
            "fax_number": "248-679-5397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "ROBERT",
        "middle_name": "SAMUEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2012-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501012100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2012; 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.