PAUL PHILLIP BURGENER (PT) – Physical Therapist, NPI 1053657288

PAUL PHILLIP BURGENER (PT) is a healthcare provider. based in Port st lucie, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. PT20482 (FL). The NPI Number for PAUL PHILLIP BURGENER (PT) is 1053657288

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
PAUL PHILLIP BURGENER (PT)
NPI
1053657288
Phone
Not provided
Address
156 NW CALIFORNIA BLVD
Enumeration Date
16 December 2012
Last Update Date
16 December 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7727782009
Graduation Year
2002 (24 years ago)
PAC ID
6608128533
Group Practice PAC ID
2668370131
Professional Enrollment ID
I20181004000604
Address ID
FL329606587VE1285XSTXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:13State licenses:2Digital endpointsOther names

4,633 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

Provider Addresses for PAUL PHILLIP BURGENER (PT)

  • 156 NW CALIFORNIA BLVD

    PORT ST LUCIE, FL 349862492

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-10-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181004000604IPhysical Therapist In Private PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes4,017262$0
97140Therapy procedure using manual technique, each 15 minutes820170$0
97530Therapy procedure using functional activities25578$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes24779$0
97161Evaluation for physical therapy, typically 20 minutes132125$0
View full utilization report →

Insurance plans in this area (ZIP 34986)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2668370131View full group profile
NameSpecialtyState
Orthopedic Surgery, Sports MedicineFL
Physical Therapist In Private PracticeFL
Physical Medicine And Rehabilitation, Pain ManagementFL
-FL
Orthopedic SurgeryCA
Orthopedic SurgeryFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL

Reviews

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Frequently asked questions

What is PAUL PHILLIP BURGENER (PT)'s NPI number?
PAUL PHILLIP BURGENER (PT)'s NPI is 1053657288 — the number used across U.S. healthcare to identify this provider.
Would PAUL PHILLIP BURGENER (PT) appear as active to a payer?
You can treat PAUL PHILLIP BURGENER (PT) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to PAUL PHILLIP BURGENER (PT)?
PAUL PHILLIP BURGENER (PT)'s specialty line reads Physical Therapist. Clinical services aligned with this taxonomy classification.
Is PAUL PHILLIP BURGENER (PT) associated with Port St Lucie?
Public fields place PAUL PHILLIP BURGENER (PT) around Port St Lucie, Florida. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for PAUL PHILLIP BURGENER (PT) is noted as December 16, 2012 where the registry provides it.