Paul Burke, DPT
Individual provider Active NPI Physical Therapist · East Providence, RI
NPI 1922035609 · NPPES record last updated Feb 15, 2019
Key facts
- NPI
- 1922035609
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT01885 (RI)
- Practice address
- 1 Kettle Point Ave
East Providence, RI 02914-5375 - Phone
- (401) 330-1428
- NPI assigned
- Jun 27, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University Orthopedics Inc
Practice addresses (Care Compare)
2 Dudley St
Suite 200
Providence, RI 02905-3248
Phone (401) 457-1500
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.13 of 100
- Quality
- 66.76
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 77
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in RI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041210000576 | RI | Practitioner - Physical Therapist in Private Practice | 9739146812 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT01885 | RI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Platinum Physical Therapy, Inc. | Past |
Accepting new patients |
Interoperability endpoints
- paul.burke.1@13709.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT01885 | RI | Yes |
Addresses
Primary practice location
1 Kettle Point Ave
East Providence, RI 02914-5375
Mailing address
PO Box 1119
Providence, RI 02901-1119
Phone (401) 443-4150
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 291992 | Other | RI | BCBS |
| 412110 | Other | RI | BLUECHIP |
Other providers in East Providence, RI
- Vivian Ngoc-Vy Bui
- Emily Grace Bullen
- Caitlin Burditt
- Crisolita Dacruz Burgess
- Robin Lynn Burgess
- Suzanne Burns
- Elliott Butcher
- Jonathan Costa Cabral
- Lisa Ann Cabral
- Michael Caetano
All providers in East Providence, RI · Physical Therapist in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 15, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.