Active NPI
Kathleen Marie Burns-Carne, PT, DPT, ATC
- Physical Therapist
- Blacksburg, VA
National Provider Identifier
1629258017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305205211
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2305205211 | VA | MD | Physical Therapist |
| 028652 | NY | MD | Pediatric Physical Therapist |
| 020302369 | NY | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Coast Audiology and Physical Therapy, PLLC | Physical Therapist | Current | 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.
-
- Physical Therapist
- Watertown, NY
- NPI 1376048652
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.