Mackenzie Susan Burns-Kasper

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTP-PT-LIC-12956 Issued in MT

Practice address

316 W Spruce St
Missoula, MT 59802-4108

Phone

(406) 541-9500

NPI assigned

Jun 1, 2017

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)

Enrolled

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

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1548798754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 S 6TH ST W",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598013755",
            "telephone_number": "971-222-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 W SPRUCE ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024108",
            "telephone_number": "406-541-9500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1016 Brooks Ave",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "MT",
            "postal_code": "598289340",
            "country_code": "US",
            "telephone_number": "406-961-3841",
            "fax_number": "406-961-6814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURNS-KASPER",
        "first_name": "MACKENZIE",
        "middle_name": "SUSAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "PTP-PT-LIC-12956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Conner J Burck, PA-C
• Leslie Burgess, L.C.P.C.
• Emilie Burke
• Rebecca Casey Burke, M.D.
• Ayden Burnett
• Dustin Christopher Burton, ATC, LAT
• James R Burton, M.D.
• Kati A Burton, MS, RDN
• Gavin John Bush, PA-C
• Katharyne Alysse Bushman, MA, NCC

• Physical Therapist in Missoula, MT
• Providers in Missoula, MT by specialty
• Physical Therapist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.