Physician Compare National (NPI:1578939831)

HEALTHCARE PROVIDER: KARL BURRIS PT,DPT

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1578939831
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7911208087
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20200721001048
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BURRIS
	Individual professional last name
Provider First Name	KARL
	Individual professional first name
Provider Middle Name	LOREN
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	AT STILL UNIVERSITY, ARIZONA SCHOOL OF DENTISTRY & ORAL HLTH
	Individual professional's medical school
Graduation Year	2015
	Individual professional's medical school graduation year
Primary Specialty	PHYSICAL THERAPY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	9886 BILTEER DR
	Group Practice or individual's line 1 address
City	SANTEE
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	920711564
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6198008173
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	M