Leisl M Burnham, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

020426 Issued in NY

Practice address

747 Madison Ave
Suite 1
Albany, NY 12208-3392

Phone

(518) 443-2279

Fax

(518) 443-7246

NPI assigned

Aug 12, 2005

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

Other identifiers 3

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": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189728000000",
    "number": "1285636878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 MADISON AVE",
            "address_2": "SUITE 1",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083392",
            "telephone_number": "518-443-2279",
            "fax_number": "518-443-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 MADISON AVE",
            "address_2": "SUITE 1",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083392",
            "telephone_number": "518-443-2279",
            "fax_number": "518-443-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNHAM",
        "first_name": "LEISL",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-12",
        "last_updated": "2007-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "020426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10098799",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MPN",
            "identifier": "843419",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSNENY",
            "identifier": "000415488001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kerry Renee Burnett, LMHC
• Rachel Ann Burnetter
• Claire Burnham
• Crystal Burnham, L.M.T.
• Erin Margaret Burnham
• Arianna Michelle Burns
• Regis M Burns, RN
• Sarah Burns, LMHC
• Tara Burr
• Keisha Burrell, NP

• Physical Therapist in Albany, NY
• Providers in Albany, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2007; 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.