Individual provider Active NPI

Michael Burnette

  • Physical Therapist
  • Mobile, AL
National Provider Identifier
1598514663
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH11805 Issued in AL
Practice address
108 S Florida St
Mobile, AL 36606-1927
Phone
(251) 501-2700
Fax
(251) 501-2701
NPI assigned
May 13, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTH11805 AL Primary

Addresses

Primary practice location

108 S Florida St
Mobile, AL 36606-1927

Mailing address

108 S Florida St
Mobile, AL 36606-1927
Phone (251) 501-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240731000493 AL Practitioner - Physical Therapist in Private Practice 0648717371 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Refine PT and Performance LLCGroup PAC ID 6103164967, 21 clinicians
Refine PT and Performance - West Mobile LLCGroup PAC ID 0840720041, 3 clinicians

Practice addresses (Care Compare)

108 S Florida St
Mobile, AL 36606-1927
Phone (251) 501-2700

6001 Grelot Rd
Mobile, AL 36609-3609
Phone (251) 486-2080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Refine PT and Performance LLC Physical Therapist CurrentSince May 19, 2024 Accepting new patients
Refine PT and Performance - West Mobile LLC Physical Therapist CurrentSince Mar 17, 2025 Accepting new patients

Locations

25620 Friendship Rd
Daphne, AL 36526
Phone (251) 270-1551

108 S Florida St
Mobile, AL 36606
Phone (251) 501-2700

6001 Grelot Rd
Mobile, AL 36609
Phone (251) 338-0519

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1598514663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 S FLORIDA ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366061927",
            "telephone_number": "251-501-2700",
            "fax_number": "251-501-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 S FLORIDA ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366061927",
            "telephone_number": "251-501-2700",
            "fax_number": "251-501-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNETTE",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-13",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH11805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; 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.