Active NPI
Lisa Burns, PT
- Physical Therapist
- Everett, WA
National Provider Identifier
1306036967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT0008794
- Practice address
- 5029 Evergreen Way
Everett, WA 98203-2826 - Phone
- (425) 252-1642
- Fax
- (425) 258-1824
- NPI assigned
- Jul 30, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT0008794 | WA | Primary |
Addresses
Primary practice location
5029 Evergreen Way
Everett, WA 98203-2826
Mailing address
1519 132ND St SE
Suite a
Everett, WA 98208-7203
Phone (425) 337-9556
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 244925 | Other | WA | DEPT OF L&I |
| 8470742 | Other | WA | DSHS |
| 8950221 | Other | WA | L&I CRIME |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT0008794 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235692800000",
"number": "1306036967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1519 132ND ST SE",
"address_2": "SUITE A",
"city": "EVERETT",
"state": "WA",
"postal_code": "982087203",
"telephone_number": "425-337-9556",
"fax_number": "425-357-9382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5029 EVERGREEN WAY",
"city": "EVERETT",
"state": "WA",
"postal_code": "982032826",
"telephone_number": "425-252-1642",
"fax_number": "425-258-1824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNS",
"first_name": "LISA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-30",
"last_updated": "2009-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT0008794",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF L&I",
"identifier": "244925",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DSHS",
"identifier": "8470742",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I CRIME",
"identifier": "8950221",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.