Kevin Burnley, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

0024420 Issued in CO

Practice address

5747 N Academy Blvd
Colorado Springs, CO 80918-3684

Phone

(719) 201-4759

NPI assigned

Oct 7, 2021

Last updated

Oct 7, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Altru Integrated Health, LLC

  • Physical Therapist
  • Colorado Springs, CO
  • NPI 1457027336
  NPD

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

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1073275905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5747 N ACADEMY BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809183684",
            "telephone_number": "719-201-4759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5747 N ACADEMY BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809183684",
            "telephone_number": "719-201-4759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNLEY",
        "first_name": "KEVIN",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-07",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "0024420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE YET",
            "identifier": "0024420",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kendi Burnette-Phelps
• Kendra Burnette
• Lora Burnette
• Timothy Theador Burnette Jr.
• Burning Sage LLC
• Grace Burns - Adams, RBT
• Alyssa Burns
• Antoinette Theodora Burns, DO
• Ashley Burns
• Emily Kristen Burns, MD

• Massage Therapist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Massage Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.