MEDICARE: EMILY BURN DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	CP043948T	OR
2	225100000X	Physical Therapist	8766	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4282098	OTHER	TN	BCBS OF TN
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568763761
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY BURN DPT

Provider Business Mailing Address
First Line	:	274 UNION BLVD STE 100
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80228-1836
Country	:	US
Telephone Number	:	303-232-0355
Fax Number	:

Provider Business Practice Location Address
First Line	:	1424 MOLALLA AVE
Second Line	:
City	:	OREGON CITY
State	:	OR
Zip	:	97045-4004
Country	:	US
Telephone Number	:	503-744-4916
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/04/2010
Last Update Date	:	03/31/2026

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Directions to “ EMILY BURN DPT” Practice Location

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