Nathan Burnett, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

9724 Issued in CA

Practice address

4650 Hoen Ave
Santa Rosa, CA 95405-9407

Phone

(512) 387-9213

NPI assigned

Oct 20, 2010

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

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": "1287532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548806400000",
    "number": "1306156559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 GLEN",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "72762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 HOEN AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954059407",
            "telephone_number": "512-387-9213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "735 N Foreman St",
            "address_purpose": "LOCATION",
            "city": "Vinita",
            "state": "OK",
            "postal_code": "74301",
            "country_code": "US",
            "telephone_number": "918-256-7551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURNETT",
        "first_name": "NATHAN",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-20",
        "last_updated": "2019-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AR",
            "license": "PTA2465",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "9724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheila Burnett Burke, M.S.
• William Michael Burke
• Nancy Burkey, M.D.
• B. Pamela Burleson, MD
• Autumn Burnes, M.D.
• Burnside Therapy Solutions, Marriage and Family Therapy, Professional Corporation
• Jaime Rae Burnside, LMFT
• Earl Ronald Burrell, D.D.S.
• Phillip D Burrill
• Smrity Singh Burritt

• Physical Therapy Assistant in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; 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.