John Edgar Burnett Jr., M.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2004006979 Issued in MO

Practice address

509 Meadowlark Ave
Crane, MO 65633-9317

Phone

(417) 723-5281

Fax

(417) 723-5443

NPI assigned

Aug 19, 2008

Sex

Male

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": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219104000000",
    "number": "1093962276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 W JACKSON ST",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656131886",
            "telephone_number": "417-777-4789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 MEADOWLARK AVE",
            "city": "CRANE",
            "state": "MO",
            "postal_code": "656339317",
            "telephone_number": "417-723-5281",
            "fax_number": "417-723-5443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNETT",
        "first_name": "JOHN",
        "middle_name": "EDGAR",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "M.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-19",
        "last_updated": "2008-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2004006979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Aubuschon, PHARM D
• Jane M. Balek, COTA/L
• Darlene Benton, PTA
• Angela Dawn Boyd, PTA
• Tammy Jo Brazeal, PH.D.
• Terry J Burpo, DMD
• Lori Conner, PTA
• Cox-Monett Hospital Inc
• Bradley Jason Deans, COTA/L
• Cori Dykes, PHARMD

• All providers in Crane, MO
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; 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.