Marrow Burnette, PT, MSPT, OCS, COMT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

19660 Issued in FL

Practice address

4745 Sutton Park CT
Suite 803
Jacksonville, FL 32224-0250

Phone

(904) 403-3880

Fax

(904) 337-1093

NPI assigned

Feb 7, 2007

Sex

Male

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 FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Australian Physiotherapy Specialists, LLC

  • Physical Therapist
  • Jacksonville, FL
  • NPI 1164776662
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352073600000",
    "number": "1346380649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3141 BRACHENBURY LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322253716",
            "telephone_number": "904-403-3880",
            "fax_number": "904-337-1093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4745 SUTTON PARK CT",
            "address_2": "SUITE 803",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322240250",
            "telephone_number": "904-403-3880",
            "fax_number": "904-337-1093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNETTE",
        "first_name": "MARROW",
        "credential": "PT, MSPT, OCS, COMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2012-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "19660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Hale Burnett, MD
• Fred Albert Burnett IV, ATC
• Jeanpaul Margain Burnett, PHARMD
• Omer Lee Burnett Jr., M.D.
• Rebecca Elizabeth Burnett, PT, DPT
• Ileish Burney, APRN
• Shavon Chanta Burney
• Dorinda L Burnham, LMHC
• Grace Elizabeth Burnham, LMT
• Karen Burnham

• Physical Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.