Andersyn Kristi Burson, PTA

Individual provider Active NPI Physical Therapy Assistant · Knob Noster, MO

NPI 1235071069 · NPPES record last updated Apr 9, 2026

Key facts

NPI
1235071069
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
2023043105 (MO)
Practice address
106 E Lucas St
Knob Noster, MO 65336-1134
Phone
(660) 563-9800
Fax
(660) 563-9801
NPI assigned
Apr 9, 2026
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2023043105MOMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Knob Noster Physical Therapy, LLC Past
since Apr 17, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2023043105 MO Yes

Addresses

Primary practice location

106 E Lucas St
Knob Noster, MO 65336-1134

Mailing address

106 E Lucas St
Knob Noster, MO 65336-1134
Phone (660) 563-9800

Other providers in Knob Noster, MO

All providers in Knob Noster, MO · Physical Therapy Assistant in Missouri

Sources for this page

Verify at the official NPI Registry.