Nicole Pederson Burnett, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

502 McKnight Dr Ste 103
Knightdale, NC 27545-7050

Phone

(919) 217-8885

NPI assigned

Nov 28, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Access Physical Therapy, LLC

  • Physical Therapist
  • Clayton, NC
  • NPI 1336612365
  NPD (past)
• Napa Valley Physical Therapy Center Inc

  • Physical Therapy Clinic/Center
  • Napa, CA
  • NPI 1598869869

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1354060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1487999702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 MAYBROOK RD STE D",
            "city": "CAMPBELL HALL",
            "state": "NY",
            "postal_code": "109162741",
            "telephone_number": "845-636-4344",
            "fax_number": "845-636-4355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 MCKNIGHT DR STE 103",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275457050",
            "telephone_number": "919-217-8885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNETT",
        "first_name": "NICOLE",
        "middle_name": "PEDERSON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-28",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Gregory Bruff, NP
• Keisha Hinton Bryan, LCSW, LCAS
• Christopher Scott Buchanan, PHARM D.
• Sara A Buchenberger, MA, LCMHCA, NCC
• Chrystal Althea Buckrham, SLP
• Amanda Cadarette, RDN, LDN, CLC
• Camelot Chiropractic Centre, Inc.
• Mary Katheryn Campbell Campbell
• Jose Cano
• Jacqueline Tucker Cardenas, MSN, RN, FNP-C

• Physical Therapist in Knightdale, NC
• Providers in Knightdale, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; 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.