TYLER JOSEPH BURKE (NPI# 1487021234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487021234 |
| Entity Type | Individual |
| Full Name | TYLER JOSEPH BURKE |
| Credential | DC |
| Practice Address |
2456 E Powell Blvd Gresham OR 97080-1311 |
| Mailing Address |
16548 Ne Halsey St Apt 113 Portland OR 97230-8612 |
| Practice Telephone | 5032989986 |
| Practice Fax Number | 5039141496 |
| Mailing Telephone | 2083401573 |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2020-07-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
5657 | OR | Chiropractic Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 811 Se 160th Ave, Vancouver, WA 986839655 | 5032989986 | 5039141496 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972010155 | Tyler Michael Burke | Registered Nurse | 100 Washington St, Elmira, NY 14901-2849 | 2018-01-09 |
| 1427464502 | Tyler Burke | Physical Therapist | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2014-07-09 |
| Street Address |
2456 E POWELL BLVD |
| City | GRESHAM |
| State | OR |
| Zip Code | 97080-1311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104171719 | Jonathan J Lohnes | Massage Therapist | 2456 E Powell Blvd, Gresham, OR 97080-1311 | 2012-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528428554 | Jeffrey Henry Lucero | Social Worker | 4687 Se 1st Terrace, Gresham, OR 97080 | 2016-03-03 |
| 1124371059 | Nickole Turner | Massage Therapist | 2831 Se Palmquist Rd #157, Gresham, OR 97080 | 2012-10-16 |
| 1992061048 | Russell A Wendt | Pharmacist | 2497 Ne Roberts Ave, Gresham, OR 97080 | 2012-04-03 |
| 1821385584 | Angela West | Counselor | 320 Sw 6th Ave., Gresham, OR 97080 | 2011-07-01 |
| 1043543572 | Natalie Dawn Wilson | Behavioral Analyst | 97 Sw Riverview Place, Gresham, OR 97080 | 2009-09-16 |
| 1427205442 | Maria G Jolley | Dental Hygienist | 1267 Se Stapleton Loop, Gresham, OR 97080 | 2008-08-21 |
| 1073776738 | Sabrina Joye Hindman | Marriage & Family Therapist | 6370 Se 26th St, Gresham, OR 97080 | 2008-07-03 |
| 1669676193 | Kimberly Sabin | Nurse Practitioner | 2222 E Powell Blvd, Gresham, OR 97080 | 2007-06-11 |
| 1932223880 | Julie Elizabeth Croshaw | Pharmacist | 2444 E Powell Blvd, Gresham, OR 97080 | 2007-03-18 |
| 1508903261 | Lonetta Elise Davis | Adult Companion | 349 Se Plamblad, Gresham, OR 97080 | 2007-01-31 |
| Find all providers in zip 97080 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801381140 | Tyler Miller | Chiropractor | 455 Nw Wanapa St, Cascade Locks, OR 97014 | 2018-06-28 |
| 1952848764 | Cooper Jay Adams | Chiropractor | 6046 E Burnside St, Portland, OR 97215-1268 | 2017-01-31 |
| 1871039768 | Sissel Holloway | Chiropractor | 501 Portway Ave Ste 203, Hood River, OR 97031-1288 | 2017-01-16 |
| 1992172977 | Whittaker Wellness and Performance Center | Chiropractor | 1000 Sw Broadway, Suite 1210, Portland, OR 97205-3003 | 2015-08-26 |
| 1588079776 | Function Performance Sport Chiropractic LLC | Chiropractor | 502 7th St Ste 100, Oregon City, OR 97045-2246 | 2014-06-25 |
| 1295162006 | Blake Testa | Chiropractor | 2663 12th St Se, Salem, OR 97302-2154 | 2013-10-11 |
| 1396182580 | Katherine M Sill | Chiropractor | 2820 E Main St, Hillsboro, OR 97123-7068 | 2013-05-28 |
| 1376883728 | Halsy James Carter | Chiropractor | 12700swnorth Dakota St 180, Tigard, OR 97223-0802 | 2013-02-21 |
| 1043571136 | Adam Goulet | Chiropractor | 1501 N Aisworth, Portland, OR 97217 | 2012-06-05 |
| 1275804171 | Dewar Chiropractic, LLC | Chiropractor | 1385 Se 1st Ave Ste 102, Canby, OR 97013-6767 | 2012-01-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.