Carlie Marie Burns

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2802-19 Issued in WI

Practice address

1314 Oakcrest CT
Appleton, WI 54914-5529

Phone

(920) 517-9040

NPI assigned

Dec 26, 2018

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1545782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546560000000",
    "number": "1568934867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 OAKCREST CT",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549145529",
            "telephone_number": "920-517-9040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 OAKCREST CT",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549145529",
            "telephone_number": "920-517-9040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2915 N Meade St",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549111509",
            "country_code": "US",
            "telephone_number": "920-993-6800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURNS",
        "first_name": "CARLIE",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-26",
        "last_updated": "2019-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "2802-19",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Marie Burich, FNP-C
• John Burke, PH.D
• Robert Burkham, PHD
• Samantha Burmeister
• Amy Marie Burns, OTR
• Andrea Burt, PT
• Kayleen I Burton, LCSW
• James E Burwitz, MD
• David Bushey, BS, SAC-IT
• Mackenzie L Bushland, CSAC

• Physical Therapy Assistant in Appleton, WI
• Providers in Appleton, WI by specialty
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; 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.