Individual provider Active NPI

Teresa Lynn Elliott-Burke, P.T., MHS

  • Physical Therapist
  • Lake Zurich, IL
National Provider Identifier
1932254406
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
755 Ela Rd
Lake Zurich, IL 60047-2337
Phone
(847) 550-9784
Fax
(847) 550-9780
NPI assigned
Jan 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X IL Primary

Addresses

Primary practice location

755 Ela Rd
Lake Zurich, IL 60047-2337

Mailing address

169 Miller Rd
Lake Zurich, IL 60047-1396
Phone (847) 438-6016

Other identifiers 1

IdentifierTypeStateIssuer
04925901OtherILBCBS OF IL PROVIDER

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

LicenseStateTypeSpecialty
070.002758ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Reilly M.D. Holistic & Family Practice Medicine LTD PastSince Apr 1, 2004 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: teri.elliottburke.p2@direct.midwesternuniversity.nextgenshare.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192060800000",
    "number": "1932254406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 MILLER RD",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600471396",
            "telephone_number": "847-438-6016",
            "fax_number": "847-550-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 ELA RD",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600472337",
            "telephone_number": "847-550-9784",
            "fax_number": "847-550-9780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT-BURKE",
        "first_name": "TERESA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "P.T., MHS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL PROVIDER",
            "identifier": "04925901",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Zurich, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.