Elizabeth Conner Burnham, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT5621 Issued in MS

Practice address

5140 Galaxie Dr
Jackson, MS 39206-4335

Phone

(769) 216-3288

NPI assigned

Apr 2, 2019

Sex

Female

Sole proprietor

Yes

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

Enrolled in MS

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Inmotion Rehab LLC

  • Physical Therapy Assistant
  • Jackson, MS
  • NPI 1801435334
  NPD (past)

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554163200000",
    "number": "1154883882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5140 GALAXIE DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392064335",
            "telephone_number": "769-216-3288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5140 GALAXIE DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392064335",
            "telephone_number": "769-216-3288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNHAM",
        "first_name": "ELIZABETH",
        "middle_name": "CONNER",
        "name_prefix": "Miss",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-02",
        "last_updated": "2019-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT5621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Adams Burnett, MOTR/L, CHT
• Chaning Burnett, MD
• Clyde Lucas Burnett, MD
• Julia Stewart Burnett, LCSW
• Kristopher Tredel Burnett
• James Gregory Burnham, CRNA
• Luke William Burnham, DO
• Bradley Austin Burns, M.D.
• Emily C. Burns, R.D.
• John Francis Burns, M.D.

• Physical Therapist in Jackson, MS
• Providers in Jackson, MS by specialty
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.