Mary Ann Bush, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4451 Issued in NC

Practice address

1520 Martin St
Suite 206
Winston Salem, NC 27103-4933

Phone

(336) 724-1333

Fax

(336) 724-1166

NPI assigned

Jul 28, 2005

Reactivated

Apr 11, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1033119375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 MARTIN ST",
            "address_2": "SUITE 206",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271034933",
            "telephone_number": "336-724-1333",
            "fax_number": "336-724-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 MARTIN ST",
            "address_2": "SUITE 206",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271034933",
            "telephone_number": "336-724-1333",
            "fax_number": "336-724-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSH",
        "first_name": "MARY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-28",
        "last_updated": "2026-07-13",
        "deactivation_date": "2006-03-22",
        "reactivation_date": "2006-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "4451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madelyn Burton
• Patricia Dawn Burton, BSN, RN, CCM
• Shlanda Burton, B.S.,B.S.,CLE
• Robert Peter Busch, PA
• Mary Anna Buser, MD
• Sarah Lynn Bush, NP
• Reamer L Bushardt, PA-C
• Cheryl Bushnell, M.D.
• Kyla Bussert
• Emory Lynn Marie Butler

• Physical Therapist in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.