Individual provider Active NPI

Jonathan Fell Burke, DPT

  • Orthopedic Physical Therapist
  • Birmingham, AL
National Provider Identifier
1922339399
Registry record updated Jan 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PTH4909 Issued in AL
Practice address
1808 Gadsden Hwy
Suite 136
Birmingham, AL 35235-3139
Phone
(205) 655-8866
NPI assigned
Jan 24, 2010
Last updated
Jan 24, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PTH4909 AL Primary

Addresses

Primary practice location

1808 Gadsden Hwy
Suite 136
Birmingham, AL 35235-3139

Mailing address

1808 Gadsden Hwy
Suite 136
Birmingham, AL 35235-3139
Phone (205) 655-8866

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140522000406 LA Practitioner - Physical Therapist in Private Practice 8527190883 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Therapydia, Inc. Physical Therapist CurrentSince Mar 7, 2014 Accepting new patients
Therapydia, Inc. Physical Therapist CurrentSince Mar 7, 2014 Accepting new patients
Training Room LLC Past Accepting new patients
Accelerated Physical Therapy, Inc. Past Accepting new patients

Locations

18 E Blithedale Ave
Ste 21
Mill Valley, CA 94941

421 N Carrollton Ave
Ste 4
New Orleans, LA 70119
Phone (504) 224-9886

625 Kenmoor Ave SE
Ste 100
Grand Rapids, MI 49546

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1179/brand/1/csg/101/fhir/r4

Organizations & group practices 4

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": "1264291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264291200000",
    "number": "1922339399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 GADSDEN HWY",
            "address_2": "SUITE 136",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353139",
            "telephone_number": "205-655-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 GADSDEN HWY",
            "address_2": "SUITE 136",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353139",
            "telephone_number": "205-655-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "JONATHAN",
        "middle_name": "FELL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-24",
        "last_updated": "2010-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AL",
            "license": "PTH4909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.