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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NICHOLAS CHRISTOPHER BURKE, PT

Active Sole Proprietor

NICHOLAS CHRISTOPHER BURKE, PT is a Physical Therapy Assistant healthcare provider located in BLOOMINGTON, Illinois. NPI 1508367590 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · BLOOMINGTON, IL

Registration Details

NPI Number
1508367590
Provider Type
Individual
Gender
Male
NPI Issued
Feb 24, 2018 (8.448515929096 yrs)
Last Updated
Apr 20, 2022
Licenses
P17972 (NC)
096003804 (IL)
070025807 (IL)
Sole Proprietor
Yes

Practice Information

Address
1111 TRINITY LN
BLOOMINGTON, IL, 617048111
Browse IL providers · Browse ZIP 61704
Phone
3096636461
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Athletic Trainer
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in BLOOMINGTON, IL

Name Credential NPI
CHRISTOPHER SCOT BYERS PT 1053319392
MICHAEL RAY SALAWAY PT 1467450627
MR. NEIL J. ATKINS MPT 1467451450
MS. KRISTA J. SHEPPARD DPT 1669471769
JASON RODEGHERO P.T. 1427044486
MR. BRYAN D JASKER PT 1447208806
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.