BURDINE PHYSICAL THERAPY NPI 1003000498

Clinic/Center in Huntsville, AL

About BURDINE PHYSICAL THERAPY

Burdine Physical Therapy is a provider in Huntsville, AL. The NPI number assigned to this provider is 1003000498. The practitioner's primary taxonomy code is Clinic/Center (261Q00000X). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Bptcare.

NPI	1003000498 National Provider Indentifier (NPI) The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name	BURDINE PHYSICAL THERAPY
Provider Location Address	311 LONGWOOD DR, SW HUNTSVILLE, AL 35801 Provider location address The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address	P.O. BOX 1026 HUNTSVILLE, AL 35807 Provider mailing address The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity Type	Organization Entity type code The code describing the type of health care provider that is being assigned an NPI. Codes are: 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?	N/A
Is Organization Subpart?	No What is a subpart? Subparts are the components and separate physical locations of organization health care providers. Examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Other Organization Name	BPTCARE Provider other organization name The alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; : 5 = other.
Other Name Type	Doing Business As (3)
Enumeration Date	08-29-2007 Provider enumeration date The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date	10-29-2012 Last update date The date that a record was last updated or changed.

Primary Taxonomy

Taxonomy Code	261Q00000X Primary Taxonomy Code The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Classification	Clinic/Center
Type	Ambulatory Health Care Facilities
License No.	PTH2024
License State	AL
Taxonomy Description	A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Business Address

BURDINE PHYSICAL THERAPY
311 LONGWOOD DR, SW
HUNTSVILLE, AL
ZIP 35801
Phone: (256) 534-5946
Fax: (256) 534-3041

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Mailing Address

BURDINE PHYSICAL THERAPY
P.O. BOX 1026
HUNTSVILLE, AL
ZIP 35807
Phone: (256) 534-5946
Fax: (256) 534-3041

Authorized Official

Authorized Official Name	DOROTHY I BURDINE PT Authorized official name The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official Title	OWNER/PHYSICAL THERAPIST
Authorized Official Phone	(256) 534-5946

Additional Identifiers

Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State
890008010	MEDICAID (05)	AL
51503661	OTHER (01)	AL

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1003000480

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