Active NPI
Barbara Burgess, PT
- Physical Therapist
- Latham, NY
National Provider Identifier
1922067065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0094311
- Practice address
- 1182 Troy Schenectady Rd
Suite LL02
Latham, NY 12110-1026 - Phone
- (518) 220-9705
- Fax
- (518) 220-9651
- NPI assigned
- Mar 18, 2006
- Sex
- Female
- 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 | 0094311 | NY | Primary |
Addresses
Primary practice location
1182 Troy Schenectady Rd
Suite LL02
Latham, NY 12110-1026
Mailing address
1182 Troy Schenectady Rd
Suite LL02
Latham, NY 12110-1026
Phone (518) 220-9705
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01940743 | Medicaid | NY | |
| 0004902130008 | Other | BLUE SHIELD | |
| 433960 | Other | MVP | |
| QA3083 | Other | BLUE CROSS |
Other names 1
- Ms. Barbara Burgess
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0094311 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy Associates of Schenectady, P.C. | Physical Therapist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Physical Therapist
- Troy, NY
- NPI 1245313097
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202947200000",
"number": "1922067065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1182 TROY SCHENECTADY RD",
"address_2": "SUITE LL02",
"city": "LATHAM",
"state": "NY",
"postal_code": "121101026",
"telephone_number": "518-220-9705",
"fax_number": "518-220-9651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1182 TROY SCHENECTADY RD",
"address_2": "SUITE LL02",
"city": "LATHAM",
"state": "NY",
"postal_code": "121101026",
"telephone_number": "518-220-9705",
"fax_number": "518-220-9651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURGESS",
"first_name": "BARBARA",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-18",
"last_updated": "2008-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "0094311",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01940743",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "0004902130008",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "433960",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "QA3083",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BARBARA",
"last_name": "BURGESS",
"prefix": "MS.",
"credential": "PT",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Latham, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.