Mindy Gayle Burnett

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2032316 Issued in TX

Practice address

1701 River Run
Suite 104
Fort Worth, TX 76107-6579

Phone

(817) 882-9611

Fax

(817) 882-9976

NPI assigned

Jul 19, 2007

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 1

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": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184803200000",
    "number": "1346440195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1199",
            "city": "AZLE",
            "state": "TX",
            "postal_code": "760981199",
            "telephone_number": "817-676-2126",
            "fax_number": "817-237-3960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 RIVER RUN",
            "address_2": "SUITE 104",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761076579",
            "telephone_number": "817-882-9611",
            "fax_number": "817-882-9976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNETT",
        "first_name": "MINDY",
        "middle_name": "GAYLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2032316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ECPTOTE OF TEXAS",
            "identifier": "2032316",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Josephine B. Burleson, L P C
• Britney Burnett
• Carolyn M Burnett, CRNA
• Jesse Burnett, PHARMD
• Kathleen Elizabeth Burnett, PA-C
• Christopher Alan Burnette, D.O.
• Catherine Burns Ayar, PT, DPT
• Abigail Adel Burns, FNP-C
• Ba'Leigh Elizabeth Rachel Burns, LPC-A, MS
• Chaitlin Burns

• Physical Therapy Assistant in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.