Active NPI
Miranda Burgett, PT, DPT
- Physical Therapist
- Darien, IL
National Provider Identifier
1972497014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.029194
- Practice address
- 6925 Richmond Ave
Darien, IL 60561-4089 - Phone
- (949) 400-0113
- NPI assigned
- Jun 4, 2025
- 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 | 070.029194 | IL | Primary |
Addresses
Primary practice location
6925 Richmond Ave
Darien, IL 60561-4089
Mailing address
6925 Richmond Ave
Darien, IL 60561-4089
Phone (949) 400-0113
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 |
|---|---|---|---|
| 070.029194 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748995200000",
"number": "1972497014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6925 RICHMOND AVE",
"city": "DARIEN",
"state": "IL",
"postal_code": "605614089",
"telephone_number": "949-400-0113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6925 RICHMOND AVE",
"city": "DARIEN",
"state": "IL",
"postal_code": "605614089",
"telephone_number": "949-400-0113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURGETT",
"first_name": "MIRANDA",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-04",
"last_updated": "2025-06-04",
"certification_date": "2025-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.029194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Darien, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.