Active NPI
Luke Burtnett, LAT, ATC
- Athletic Trainer
- Washington, DC
National Provider Identifier
1922473172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- RT005709
- Practice address
- Georgetown University Athletic Department
McDonough Arena
Washington, DC 20057-0001 - Phone
- (202) 687-2362
- NPI assigned
- Dec 13, 2015
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | RT005709 | PA | Primary |
Addresses
Primary practice location
Georgetown University Athletic Department
McDonough Arena
Washington, DC 20057-0001
Mailing address
5507 Trin St
Alexandria, VA 22310-1846
Phone (717) 805-9407
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RT005709 | PA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449964800000",
"number": "1922473172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5507 TRIN ST",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223101846",
"telephone_number": "717-805-9407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "GEORGETOWN UNIVERSITY ATHLETIC DEPARTMENT",
"address_2": "MCDONOUGH ARENA",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200570001",
"telephone_number": "202-687-2362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURTNETT",
"first_name": "LUKE",
"credential": "LAT, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-12-13",
"last_updated": "2015-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "PA",
"license": "RT005709",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.