Individual provider Active NPI

Kathleen Marie Burns-Carne, PT, DPT, ATC

  • Physical Therapist
  • Blacksburg, VA
National Provider Identifier
1629258017
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305205211 Issued in VA
Practice address
920 Plantation Rd
Suite 100
Blacksburg, VA 24060-3835
Phone
(540) 951-0742
Fax
(540) 951-0743
NPI assigned
Nov 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305205211 VA Primary
Athletic Trainer 2255A2300X 020302369 NY

Addresses

Primary practice location

920 Plantation Rd
Suite 100
Blacksburg, VA 24060-3835

Mailing address

920 Plantation Rd
Suite 100
Blacksburg, VA 24060-3835
Phone (540) 951-0742

Other names 1

  • Kathleen Marie Burns Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305205211VAMDPhysical Therapist
028652NYMDPediatric Physical Therapist
020302369NYMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
East Coast Audiology and Physical Therapy, PLLC Physical Therapist CurrentSince Jan 1, 2022 Accepting new patients

Locations

544 Towne Dr
Fayetteville, NY 13066
Phone (315) 637-8800

53-59 Public Sq
Ste 202
Watertown, NY 13601
Phone (315) 786-3225

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1629258017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 PLANTATION RD",
            "address_2": "SUITE 100",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240603835",
            "telephone_number": "540-951-0742",
            "fax_number": "540-951-0743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 PLANTATION RD",
            "address_2": "SUITE 100",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240603835",
            "telephone_number": "540-951-0742",
            "fax_number": "540-951-0743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS-CARNE",
        "first_name": "KATHLEEN",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "PT, DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-14",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305205211",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "020302369",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "BURNS",
            "middle_name": "MARIE",
            "credential": "PT, DPT, ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Blacksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.