Kellie Jean Burton, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A4303 Issued in MD

Practice address

8638 Veterans Hwy
1St Floor
Millersville, MD 21108-1422

Phone

(410) 729-4508

Fax

(410) 729-4526

NPI assigned

Nov 6, 2015

Last updated

Nov 6, 2015By the provider in NPPES

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1446768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446768000000",
    "number": "1144693573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 MEDICAL PKWY",
            "address_2": "#404",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013742",
            "telephone_number": "443-481-1140",
            "fax_number": "443-481-1148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8638 VETERANS HWY",
            "address_2": "1ST FLOOR",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211081422",
            "telephone_number": "410-729-4508",
            "fax_number": "410-729-4526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURTON",
        "first_name": "KELLIE",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-06",
        "last_updated": "2015-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MD",
            "license": "A4303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Brown, LCSW-C
• Sashia Brown
• Francisca Claudia Bruney, MD
• Brenda Louise Bulich, M.A., CCC-SLP
• Corry J Bulkley, LCPC
• Christina Petros Butterly, CRNP
• Sheryl B Campbell, LCPC
• Susan Worthing Campion, MPT, DPT
• Louise Victoria Saringan Cancino, LMSW
• Carroll Stewart Canipe, LCSW-C

• Physical Therapy Assistant in Millersville, MD
• Providers in Millersville, MD by specialty
• Physical Therapy Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; 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.