HALEY BURKHART (NPI# 1578989570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578989570 |
| Entity Type | Individual |
| Full Name | HALEY BURKHART |
| Practice Address |
808 Mill Lake Rd Fort Wayne IN 46845-6400 |
| Practice Telephone | 2603381241 |
| Enumeration Date | 2014-03-14 |
| Last Update Date | 2014-03-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
05011303A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
808 MILL LAKE RD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46845-6400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902946791 | Nancy L Moore | Day Training/Habilitation Specialist | 808 Mill Lake Rd, Fort Wayne, IN 46845-6400 | 2007-02-08 |
| 1770918815 | Rachel Marie Baker | Speech-Language Pathologist | 808 Mill Lake Rd, Fort Wayne, IN 46845-6400 | 2013-09-09 |
| 1447692363 | Stephani Siples | Physical Therapy Assistant | 808 Mill Lake Rd, Fort Wayne, IN 46845-6400 | 2013-07-19 |
| 1811338023 | Jennifer Bell | Speech-Language Pathologist | 808 Mill Lake Rd, Fort Wayne, IN 46845-6400 | 2013-07-16 |
| 1992048896 | Melisa Beth Thayer | Speech-Language Pathologist | 808 Mill Lake Rd, Fort Wayne, IN 46845-6400 | 2013-03-29 |
| 1447595087 | Shalee Myron | Speech-Language Pathologist | 808 Mill Lake Rd, Fort Wayne, IN 46845-6400 | 2012-12-08 |
| 1548512320 | Nola Katinsky | Physical Therapist | 808 Mill Lake Rd, Fort Wayne, IN 46845-6400 | 2012-10-04 |
| 1487900361 | Jacqueline C Kepple | Speech-Language Pathologist | 808 Mill Lake Rd, Fort Wayne, IN 46845-6400 | 2012-07-30 |
| 1053672196 | Elizabeth Comer | Speech-Language Pathologist | 808 Mill Lake Rd, Fort Wayne, IN 46845-6400 | 2012-06-05 |
| 1831491810 | Leslie Gallmeier | Registered Nurse | 808 Mill Lake Rd, Fort Wayne, IN 46845-6400 | 2010-11-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881154110 | Nancy Jean Ehmke | Clinical Nurse Specialist | 11151 Parkview Plaza Dr, Fort Wayne, IN 46845 | 2019-03-22 |
| 1043703903 | Kara Stackhouse | Nurse Practitioner | 11050 Parkview Plaza Drive, Fort Wayne, IN 46845 | 2018-06-14 |
| 1871082412 | Tara K Jellison | Pharmacist | 11109 Parkview Plaza Drive -- Attn Pharmacy, Fort Wayne, IN 46845 | 2018-05-09 |
| 1578097572 | Forefront Dermatology, S.c. | Dermatology | 4020 New Vision Drive, Fort Wayne, IN 46845 | 2017-04-17 |
| 1811437999 | Jessica Ann Lefever | Behavioral Analyst | 3898 New Vision Dr Ste D, Fort Wayne, IN 46845 | 2017-03-08 |
| 1033668041 | Bhi Home Care, Inc. | In Home Supportive Care | 820 Mill Lake Road, Fort Wayne, IN 46845 | 2016-10-03 |
| 1467814939 | Austin Wyss | Specialist/Technologist | 11130 Parkview Circle Drive, Ft. Wayne, IN 46845 | 2016-03-24 |
| 1154713584 | Ashley Whitcraft | Specialist/Technologist | 11130 Parkview Plaza Drive #4, Fort Wayne, IN 46845 | 2015-02-23 |
| 1275975682 | Lakshmi Mohan Viji Das | Internal Medicine | 11143 Parkview Plaza Dr Ste 311, Fort Wayne, IN 46845 | 2013-07-26 |
| 1336482496 | Mithun Mohana Shenoi | Colon & Rectal Surgery | 11104 Parkview Circle Drive Suite 320, Fort Wayne, IN 46845 | 2013-03-27 |
| Find all providers in zip 46845 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720370794 | Pediatric Links,llc | Physical Therapist | 7317 W Jefferson Blvd, Fort Wayne, IN 46804-6237 | 2011-05-10 |
| 1073772315 | Kristine L. Waffle | Physical Therapist | 827 Upland Ridge Dr, Fort Wayne, IN 46825-2286 | 2008-06-02 |
| 1376760264 | Agnes Lucas Vigilia-maraya | Physical Therapist | 8110 Northbury Dr, Fort Wayne, IN 46818-1843 | 2007-04-20 |
| 1629692405 | Nicole Kuhn | Physical Therapist | 4935 Hillegas Rd Ste 200, Fort Wayne, IN 46818-1943 | 2020-06-08 |
| 1114407111 | Jena Bontreger | Physical Therapist | 9426 Lima Rd, Fort Wayne, IN 46818-8680 | 2018-08-19 |
| 1467930008 | Kayley O'connor Colvin | Physical Therapist | 4935 Hillegas Rd Ste 200, Fort Wayne, IN 46818-1934 | 2018-08-06 |
| 1134622616 | Darcy Hill | Physical Therapist | 4935 Hillegas Rd Ste 200, Fort Wayne, IN 46818-1934 | 2018-03-12 |
| 1013464122 | Elaine Coleman Prouty | Physical Therapist | 9426 Lima Rd, Fort Wayne, IN 46818-8680 | 2016-09-07 |
| 1548512320 | Nola Katinsky | Physical Therapist | 808 Mill Lake Rd, Fort Wayne, IN 46845-6400 | 2012-10-04 |
| 1720341050 | Renee Helmkamp | Physical Therapist | 4935 Hillegas Rd, Fort Wayne, IN 46818-1934 | 2012-06-21 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46845 |
Please comment or provide details below to improve the information on HALEY BURKHART.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.