Mitchell Ray Buerck
Mitchell Ray Buerck is a Physical Therapist in Private Practice in Brentwood, Missouri. Qualified in 2024, 2 years ago. Practices with Athletico Ltd, a 2,186-clinician group and accepts Medicare assignment. Licensed in Missouri.
- Years since qualifying
- 2
- Licensed in
- MO
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
2937 S Brentwood BlvdBrentwood, MO 63144-2713
Phone: (314) 961-3804
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 2024031307 (MO) |
|---|---|
| Athletic Trainer | Taxonomy 2255A2300X |
Record details
| NPI number | 1992263123 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 6, 2019 |
| Last updated in NPPES | August 18, 2024 |
| Certification date | August 18, 2024 |
| Mailing address | 4940 Granite Dr, Smithton, IL 62285-3635 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Group practice | Athletico Ltd — 2186 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Brentwood
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Heather Colleen Carroll, ATC
2937 S Brentwood Blvd, Brentwood, MO 63144-2713 · (314) 961-3804