Active NPI
Renallie R Burns, PT, DPT
- Pediatric Physical Therapist
- McKinney, TX
National Provider Identifier
1053693994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 1155540
- Practice address
- 5101 Buckthorn Dr
McKinney, TX 75071-8306 - Phone
- (214) 517-9565
- NPI assigned
- Sep 16, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 1155540 | TX | Primary |
Addresses
Primary practice location
5101 Buckthorn Dr
McKinney, TX 75071-8306
Mailing address
PO Box 2323
McKinney, TX 75070-8169
Phone (214) 517-9565
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1155540 | TX | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379462400000",
"number": "1053693994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2323",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750708169",
"telephone_number": "214-517-9565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5101 BUCKTHORN DR",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750718306",
"telephone_number": "214-517-9565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNS",
"first_name": "RENALLIE",
"middle_name": "R",
"name_prefix": "Mrs.",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-16",
"last_updated": "2013-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "TX",
"license": "1155540",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McKinney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.