Healthcare Provider Details

I. General information

NPI: 1306866819
Provider Name (Legal Business Name): BURKAM & ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2006
Last Update Date: 03/11/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

837 BETHEL RD
COLUMBUS OH
43214-1903
US

IV. Provider business mailing address

3967 PRESIDENTIAL PKWY STE C
POWELL OH
43065-7271
US

V. Phone/Fax

Practice location:
  • Phone: 614-326-1490
  • Fax: 614-326-1495
Mailing address:
  • Phone: 614-791-0700
  • Fax: 614-791-0702

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. DONALD WILLIAM RADLINSKI
Title or Position: OWNER
Credential: PT
Phone: 614-791-0700