Active NPIIndividual provider

Mr. Stephen G Burke, PTA

Physical Therapy Assistant in Uncasville, Connecticut

NPI Number1053688093
Practice location
5 Richard Brown Dr, Uncasville, CT 06382-1141
Fax
860-848-7456
Last updated
November 18, 2011

Stephen Gerard Burke is a Physical Therapy Assistant based in Uncasville, CT. Stephen Gerard Burke practices in Uncasville, CT and has the professional credentials of PTA. The NPI Number for Stephen Gerard Burke is 1053688093 and holds a License No. 001099 (CT). The current practice location address for Stephen Gerard Burke is 5 Richard Brown Dr, Uncasville, CT 06382-1141 and can be reached out via phone at 860-848-8466 and via fax at 860-848-7456.

Provider Profile Details

NPI Number
1053688093
Provider Name
Stephen Gerard Burke
Credential
PTA
Provider Entity Type
Individual
Gender
Male
Address
5 Richard Brown Dr, Uncasville, CT 06382-1141
Phone Number
860-848-8466
Fax Number
860-848-7456
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
No
Provider Enumeration Date
November 18, 2011
Last Update Date
November 18, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
5 Richard Brown Dr
Uncasville, CT 06382-1141
Zip
06382-1141
Phone Number
860-848-8466
Fax Number
860-848-7456
Uncasville, CT 06382Get directions →

Provider Business Mailing Address Details

Address
5 Richard Brown Dr
Uncasville, CT 06382-1141
City
Uncasville
State
CT
Zip
06382-1141
Phone Number
860-848-8466
Fax Number
860-848-7456

License Information

License Number
001099
License State
CT
Taxonomy
Physical Therapy Assistant · 225200000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Stephen G Burke, PTA?

The NPI number of Mr. Stephen G Burke, PTA is 1053688093. It was assigned on November 18, 2011 and is currently active in the NPPES registry.

What is the specialty of Mr. Stephen G Burke, PTA?

Mr. Stephen G Burke, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in CT under license number 001099.

Where does Mr. Stephen G Burke, PTA practice?

The practice location is 5 Richard Brown Dr, Uncasville, CT 06382-1141. The office can be reached at 860-848-8466 (phone) or 860-848-7456 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053688093 directly on the NPPES registry website.

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