Mackenzie Bures, PT,DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

14108 Issued in CT

Practice address

400 Boston Post Rd
Orange, CT 06477-3545

Phone

(203) 799-3343

Fax

(203) 517-0604

NPI assigned

Aug 14, 2023

Sex

Female

Sole proprietor

No

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.

• Ronai Physical Therapy & Sports Medicine, LLC

  • Physical Therapy Clinic/Center
  • Orange, CT
  • NPI 1871156323

  CT, Physical Therapist

  Medicare reassignment Care Compare group NPD

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ronai Physical Therapy and Sports Medicine LLC 7 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in CT

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 14, 2023.

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1487437638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 BOSTON POST RD",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773545",
            "telephone_number": "203-799-3343",
            "fax_number": "203-517-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BOSTON POST RD",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773545",
            "telephone_number": "203-799-3343",
            "fax_number": "203-517-0604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURES",
        "first_name": "MACKENZIE",
        "credential": "PT,DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "14108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krisan Bradley
• Lauren Brickett, SPEECH THERAPIST
• Brighter Days Psychiatry, Inc
• Dorota Brynda-Hansen, DDS
• Mackenzie Lyn Buday, LMSW
• Isis Burgos-Chapman, M.D.
• Denise Marie Butt, OTR/L
• Elizabeth Pan Cai, MD
• Carla G Calcaterra, DDS
• Nicholas B Calcaterra, DDS

• All providers in Orange, CT
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.