Active NPI
Kelly A Burneson, PTA
- Physical Therapist
- Bellingham, MA
National Provider Identifier
1508064783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7977
- Practice address
- 40 North Main Street
Bellingham, MA 02019 - Phone
- (508) 966-2717
- Fax
- (508) 966-2095
- NPI assigned
- Jul 10, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 7977 | MA | Primary |
Addresses
Primary practice location
40 North Main Street
Bellingham, MA 02019
Mailing address
40 Oneil Drive
Westborough, MA 01581
Phone (508) 366-8402
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184025600000",
"number": "1508064783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 ONEIL DRIVE",
"city": "WESTBOROUGH",
"state": "MA",
"postal_code": "01581",
"telephone_number": "508-366-8402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 NORTH MAIN STREET",
"city": "BELLINGHAM",
"state": "MA",
"postal_code": "02019",
"telephone_number": "508-966-2717",
"fax_number": "508-966-2095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNESON",
"first_name": "KELLY",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-10",
"last_updated": "2007-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "7977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellingham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.