Pay Online – Burkhardt Physical Therapy

You can pay your bill online with confidence.

We have partnered with Authorize.Net, a subsidiary of Visa^® to accept card payments safely and securely for our customers.

The Authorize.Net Payment Gateway manages the complex routing of sensitive customer information through the credit card processing networks. Authorize.Net adheres to strict industry standards for payment processing which includes industry leading encryption methods, security protocols to protect customer information, and compliance with the Payment Card Industry Data Security Standard (PCI DSS).

For additional information regarding the privacy of your sensitive cardholder data, please read the Authorize.Net Privacy Policy.

Name*
First Last
Billing Address*
Street Address Address Line 2 City State ZIP Code
Email*
Account #*
Pay This Amount*

Please enter the full amount of your statement.
Credit Card*

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
CAPTCHA
Phone
This field is for validation purposes and should be left unchanged.