MRS. KRISTIN BURDA (PT) – Physical Therapist, NPI 1164463139

MRS. KRISTIN BURDA (PT) is a healthcare provider. based in Chicago, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. The NPI Number for MRS. KRISTIN BURDA (PT) is 1164463139

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KRISTIN BURDA (PT)
NPI
1164463139
Phone
(773) 784-9406
Address
5221 N BROADWAY ST
Enumeration Date
9 June 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7732482578
Graduation Year
2006 (20 years ago)
PAC ID
6204071228
Group Practice PAC ID
5092624510
Professional Enrollment ID
I20251017002580
Address ID
IL606141317CH1002XPKWY400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:20State licenses:0Digital endpointsOther names

5,030 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IL

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Provider Addresses for MRS. KRISTIN BURDA (PT)

  • Broadway Street, Indiana Harbor, East Chicago, Lake County, Indiana, 46312, United States

    CHICAGO, IL 606402303

    Phone: (773) 784-9406

    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: 2025-10-17

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
I20251017002580IPhysical Therapist In Private PracticeILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60640)

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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: 5092624510View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
General Surgery, Colorectal Surgery (Proctology)NY
Physical Therapist In Private PracticeIL
Occupational Therapist In Private PracticeIN
Physical Medicine And RehabilitationIL
Physical Therapist In Private PracticeIL
Internal MedicineIL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL

Reviews

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Frequently asked questions

Can I verify MRS. KRISTIN BURDA (PT) with an NPI only?
You can start verification with NPI 1164463139 for MRS. KRISTIN BURDA (PT), then check state licensing separately.
Does CMS list MRS. KRISTIN BURDA (PT) as active?
Yes — MRS. KRISTIN BURDA (PT) is active in the NPI listing used on this page.
What is MRS. KRISTIN BURDA (PT)'s specialty?
The listing groups MRS. KRISTIN BURDA (PT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is MRS. KRISTIN BURDA (PT) based?
MRS. KRISTIN BURDA (PT) is tied to Chicago, Illinois in the data we show; additional addresses may exist on the full record.
Is the information about MRS. KRISTIN BURDA (PT) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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