Avery Dawn Burns, CPTA
Individual provider Active NPI Physical Therapy Assistant · Satanta, KS
NPI 1063939288 · NPPES record last updated Aug 28, 2017
Key facts
- NPI
- 1063939288
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 14-03245 (KS)
- Practice address
- 401 Cheyenne
Satanta, KS 67870-8748 - Phone
- (620) 249-2761
- NPI assigned
- Aug 28, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14-03245 | KS | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 14-03245 | KS | Yes |
Addresses
Primary practice location
401 Cheyenne
Satanta, KS 67870-8748
Mailing address
1240 N New York Ave Apt 104
Liberal, KS 67901-2711
Other providers in Satanta, KS
- Melanie Brooke Brewer
- John Irwin Brown
- Henry Daniel Derbes III
- Kilah Danielle Dunn
- Mercedes Sierra Fanning
- Christopher Jeff Gardner
- Myrna Louise Gumpenberger
All providers in Satanta, KS · Physical Therapy Assistant in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.