2026 NPPES data Physical Therapist NPI 1922035609 DPT
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PAUL BURKE, DPT

Physical Therapist in EAST PROVIDENCE, Rhode Island. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
MIPS score
75.392/100
▼ 8 pts below national avg 83.1 · [object Object]
What the federal data reveals: PAUL BURKE, DPT is a Physical Therapist ([object Object]) practicing in EAST PROVIDENCE, Rhode Island . Their CMS MIPS Final Score of 75.392/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: PAUL BURKE, DPT reported a CMS MIPS final score of 75.392 out of 100, below the 83.1 national average. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

PAUL BURKE, DPT at a glance

Below national average

NPI registry status

Active

Issued 06/27/2006

NPI 1922035609

Primary specialty

Physical Therapist

High-volume

254,681 US NPIs in this specialty

MIPS final score

75.392/100 7.707999999999998% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Rhode Island

How Physical Therapist compares to other specialties among Rhode Island providers

Rhode Island providers

Physical Therapist share within Rhode Island

1. Physical Therapist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Physical Therapist share within Rhode Island

Medicare quality performance — MIPS

PAUL BURKE, DPT's 2023 MIPS final score plotted against the Physical Therapist national average

Below national average
MIPS Final Score
75.392/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Physical Therapist) — 75.392/100 vs national avg 83.1

0%100%National avg83%75.4%
MIPS final score (Physical Therapist) — 75.392/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

PAUL BURKE, DPT is a Physical Therapist provider practicing in EAST PROVIDENCE, Rhode Island, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: DPT. NPI: 1922035609. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

PAUL BURKE, DPT appears in the CMS NPPES registry as a Physical Therapist provider holding DPT credentials at 1 KETTLE POINT AVE, EAST PROVIDENCE, RI, 02914, with a listed phone of (401) 330-1428. NPI 1922035609 was issued on 06/27/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BURKE most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D prescribing data is not currently published for this NPI, which typically means the provider either wrote fewer than 11 Part D claims in the most recent reporting year, does not participate in Medicare, or practices in a specialty that rarely prescribes outpatient drugs. Absence of prescribing data is not a quality signal — many Physical Therapist providers operate outside Part D entirely. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 75.392/100 for the 2023 performance year (Quality 59.7838, Cost 62.3562), compared with the national average of 83.1.

Physical Therapist is a high-volume specialty nationwide, with 254,681 enrolled providers across 56 states and an average of 681 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

1 KETTLE POINT AVE
EAST PROVIDENCE, RI 02914

Provider Details

NPI 1922035609
Specialty Physical Therapist
Credentials DPT
Gender Male
NPI Issued 06/27/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

75.392
Final Score
Avg: 83.1
59.7838
Quality
62.3562
Cost
95
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where PAUL BURKE, DPT bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

UNIVERSITY ORTHOPEDICS INC
PROVIDENCE, RI

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Physical Therapist Overview

How PAUL BURKE, DPT fits within the Physical Therapist landscape nationally.

254,681
Physical Therapist Providers in US
56
States with Physical Therapist
681
Avg Claims per Provider

Nearby Physical Therapist Providers in Rhode Island

Other clinicians with the same primary specialty enrolled in Rhode Island, drawn from the same CMS NPPES roster as BURKE.

Compare Physical Therapist nationally: see state-by-state distribution →

Frequently Asked Questions

What is PAUL BURKE, DPT's specialty?
PAUL BURKE, DPT specializes in Physical Therapist and practices in EAST PROVIDENCE, Rhode Island. Credentials: DPT.
What is PAUL BURKE, DPT's Medicare quality score?
PAUL BURKE, DPT has a CMS MIPS Final Score of 75.392/100 (Quality: 59.7838, Cost: 62.3562). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is PAUL BURKE, DPT located?
PAUL BURKE, DPT is located at 1 KETTLE POINT AVE, EAST PROVIDENCE, RI, 02914. Phone: (401) 330-1428.
What is PAUL BURKE, DPT's NPI number?
PAUL BURKE, DPT's National Provider Identifier (NPI) is 1922035609, issued on 06/27/2006.
How many Physical Therapist providers are there in the US?
There are 254,681 Physical Therapist providers across 56 states in the US. The average Physical Therapist provider writes 681 Medicare Part D claims per year.
Does PAUL BURKE, DPT accept Medicare?
PAUL BURKE, DPT appears in CMS Medicare data. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PAUL BURKE, DPT's credentials?
PAUL BURKE, DPT's NPI is 1922035609 with credentials DPT. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology