Individual provider Active NPI

Katy Jane Burdett, DPT

  • Physical Therapist
  • Fayetteville, NC
National Provider Identifier
1659970614
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP058702T Issued in NC
Practice address
1991 Fordham Dr Ste 102
Fayetteville, NC 28304-3774
Phone
(910) 484-4653
Fax
(910) 483-9256
NPI assigned
Oct 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTL27184 MA
Physical Therapist 225100000X 11229 SC
Physical Therapist 225100000X CP058702T NC Primary
Physical Therapist 225100000X CP048417T MD
Physical Therapist 225100000X PT028575 PA

Addresses

Primary practice location

1991 Fordham Dr Ste 102
Fayetteville, NC 28304-3774

Mailing address

1991 Fordham Dr Ste 102
Fayetteville, NC 28304-3774
Phone (910) 484-4653

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, DC, MA, NC4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20220715001603 SC Practitioner - Physical Therapist in Private Practice 4981085354 Reassigns benefits to 2 organizations
I20230616003313 DC Practitioner - Physical Therapist in Private Practice 4981085354 Reassigns benefits to 1 organization
I20231018002933 MA Practitioner - Physical Therapist in Private Practice 4981085354 Reassigns benefits to 3 organizations
I20250127000453 NC Practitioner - Physical Therapist in Private Practice 4981085354 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ati Holdings, LLCGroup PAC ID 9537112719, 440 clinicians
Bay State Physical Therapy of Randolph IncGroup PAC ID 6305744251, 451 clinicians
Proex Physical Therapy LLCGroup PAC ID 0345212395, 166 clinicians

Practice addresses (Care Compare)

14190 A-B Baltimore Ave
Ati Physical Therapy
Laurel, MD 20707-5098
Phone (240) 542-5924

173 Essex St
FL 1
Swampscott, MA 01907-1150
Phone (781) 586-0550

516 Route 34
Suite 9
South Dennis, MA 02660-3430
Phone (774) 352-7090

Merit-based Incentive Payment System (MIPS)

Final score
85.19 of 100Reported as group
Quality
86.04
Improvement activities
40
Cost
76.23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11229SCMDPharmacist
PTL27184MAMDPhysical Therapist
PT028575PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Rehabilitation of Western New England LLC Physical Therapist CurrentSince Apr 1, 2024 Accepting new patients
Northwest Center for Sports Medicine & Physical Therapy, Inc. Physical Therapist CurrentSince Oct 15, 2024 Accepting new patients
Cora South Carolina LLC CurrentSince Jan 1, 2023 Accepting new patients
Cumberland County Hospital System Inc CurrentSince Jan 9, 2025 Accepting new patients
Cumberland County Hospital System Inc Current Accepting new patients
Cora South Carolina LLC CurrentSince Jan 1, 2023 Accepting new patients
Proex Physical Therapy, LLC Physical Therapist CurrentSince Jun 24, 2025 Accepting new patients
Therapy Management Services, PLLC Physical Therapist Current Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Sep 24, 2025 Accepting new patients
RSFH - Ati Physical Therapy, LLC Physical Therapist CurrentSince May 2, 2022 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Sep 24, 2025 Accepting new patients
Proex Physical Therapy, LLC CurrentSince Jun 24, 2025 Accepting new patients
Cumberland County Hospital System Inc CurrentSince Jan 9, 2025 Accepting new patients
Therapy Management Services, PLLC Physical Therapist CurrentSince Jun 2, 2024 Accepting new patients
Performance Rehabilitation of Western New England LLC Physical Therapist CurrentSince Apr 1, 2024 Accepting new patients
Bay State Physical Therapy of Randolph Inc CurrentSince Oct 1, 2023 Accepting new patients
Cora South Carolina LLC Current Accepting new patients
RSFH - Ati Physical Therapy, LLC Physical Therapist CurrentSince May 2, 2022 Accepting new patients
Therapy Management Services, PLLC Physical Therapist CurrentSince Jun 2, 2024 Accepting new patients
Carl Gustafson LLC Physical Therapist Past Accepting new patients
Northwest Center for Sports Medicine & Physical Therapy, Inc. Physical Therapist Past Accepting new patients
Oasis Physical Therapy, PLLC Physical Therapist PastSince Aug 5, 2013 Accepting new patients
Ati Holdings, LLC PastSince Sep 21, 2025 Accepting new patients

Locations (25 of 28)

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

790 Remington Blvd
Bolingbrook, IL 60440

33377 Collection Ctr Dr
Chicago, IL 60693
Phone (617) 284-9418

33299 Collection Ctr Dr
Chicago, IL 60693

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

101 University Dr
Ste A6
Amherst, MA 01002
Phone (413) 336-5703

10 High St
Ste 303
Boston, MA 02110
Phone (617) 542-6999

1343 Providence Hwy
Norwood, MA 02062
Phone (781) 702-1339

124 Broadway
Ste A
Saugus, MA 01906
Phone (781) 813-5002

173 Essex St
Fl 1
Swampscott, MA 01907
Phone (781) 586-0550

14190 Baltimore Ave
Laurel, MD 20707
Phone (240) 542-5924

14190 Baltimore Ave
#A
Laurel, MD 20707
Phone (240) 542-5924

11271 New Hampshire Ave
Silver Spring, MD 20904
Phone (240) 485-1280

1991 Fordham Dr
Ste 102
Fayetteville, NC 28304
Phone (910) 484-4653

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

576 Broadhollow Rd
Melville, NY 11747

876 Fording Island Rd
Ste 2
Bluffton, SC 29910
Phone (843) 507-8473

586 Lone Tree Dr
Mt Pleasant, SC 29464
Phone (843) 884-7880

9241 University Blvd
Ste B1
North Charleston, SC 29406
Phone (843) 414-1140

851 Heckle Blvd
Ste 115
Rock Hill, SC 29730
Phone (839) 388-0908

15500 1st Ave S
Ste 106
Burien, WA 98148
Phone (206) 242-0855

4411 Point Fosdick Dr
Ste 101
Gig Harbor, WA 98335
Phone (253) 851-7472

4303 W 24th Ave
#B
Kennewick, WA 99338
Phone (509) 209-9386

Organizations & group practices 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1659970614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1991 FORDHAM DR STE 102",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043774",
            "telephone_number": "910-484-4653",
            "fax_number": "910-483-9256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1991 FORDHAM DR STE 102",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043774",
            "telephone_number": "910-484-4653",
            "fax_number": "910-483-9256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURDETT",
        "first_name": "KATY",
        "middle_name": "JANE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-21",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "PTL27184",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "11229",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "CP058702T",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "CP048417T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT028575",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; 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.