Active NPI
Stephanie Burchard, PHYSICAL THERAPIST
- Prevention Professional
- Harrison, OH
National Provider Identifier
1972035251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prevention Professional
- License
- 3096
- Practice address
- 230 S Elm St
Harrison, OH 45030-1697 - Phone
- (513) 367-4139
- Fax
- (513) 367-2287
- NPI assigned
- Mar 28, 2017
- 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 |
|---|---|---|---|---|
| Prevention Professional | 405300000X | 3096 | OH | Primary |
Addresses
Primary practice location
230 S Elm St
Harrison, OH 45030-1697
Mailing address
230 S Elm St
Harrison, OH 45030-1697
Phone (513) 367-4139
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 |
|---|---|---|---|
| 3096 | OH | MD | Pediatric Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Local School District | 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.
-
- Local Education Agency (LEA)
- Harrison, OH
- NPI 1831425412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490659200000",
"number": "1972035251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 S ELM ST",
"city": "HARRISON",
"state": "OH",
"postal_code": "450301697",
"telephone_number": "513-367-4139",
"fax_number": "513-367-2287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 S ELM ST",
"city": "HARRISON",
"state": "OH",
"postal_code": "450301697",
"telephone_number": "513-367-4139",
"fax_number": "513-367-2287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURCHARD",
"first_name": "STEPHANIE",
"name_prefix": "Mrs.",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-28",
"last_updated": "2017-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "405300000X",
"taxonomy_group": "",
"desc": "Prevention Professional",
"state": "OH",
"license": "3096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harrison, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.