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Phillip Bradley Burgess, DPT

NPI 1124467386ActiveIndividual· Physical Therapist· Fort Campbell, KY

Physical Therapist (DPT) in Fort Campbell, Kentucky, licensed in TN, with an NPI issued in June 2013.

Overview

NPI1124467386
StatusActive
Entity typeIndividual
CredentialDPT
Sole proprietorNo
NPI issuedJun 21, 2013
Last updated in NPPESSep 30, 2024
Certified by providerSep 30, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000X9613TN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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