Active NPI
Robert Samuel Burns, DPT
- Physical Therapist
- Novi, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501012100
- 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, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5501012100 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novi DPT LLC | Physical Therapist | Current | 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.