Active NPI
Ramona Lue Burnett, PT
- Physical Therapist
- Fairmont, WV
National Provider Identifier
1417072463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT017606
- Practice address
- 130 Kaufman Dr
Fairmont, WV 26554-2179 - Phone
- (304) 363-4891
- Fax
- (304) 363-4891
- NPI assigned
- Mar 20, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT017606 | PA | Primary |
| Cardiopulmonary Physical Therapist | 2251C2600X | 2029 | WV |
Addresses
Primary practice location
130 Kaufman Dr
Fairmont, WV 26554-2179
Mailing address
7210 Scottsdale Rd
Fairmont, WV 26554-7804
Phone (304) 368-1755
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT017606 | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1417072463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7210 SCOTTSDALE RD",
"city": "FAIRMONT",
"state": "WV",
"postal_code": "265547804",
"telephone_number": "304-368-1755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 KAUFMAN DR",
"city": "FAIRMONT",
"state": "WV",
"postal_code": "265542179",
"telephone_number": "304-363-4891",
"fax_number": "304-363-4891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNETT",
"first_name": "RAMONA",
"middle_name": "LUE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT017606",
"primary": true
},
{
"code": "2251C2600X",
"taxonomy_group": "",
"desc": "Physical Therapist, Cardiopulmonary",
"state": "WV",
"license": "2029",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairmont, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.