Individual provider Active NPI

Kathryn Louise Bures, PT, DPT

  • Physical Therapist
  • St Augustine, FL
National Provider Identifier
1750983474
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT43390 Issued in FL
Practice address
4299 A1A S
St Augustine, FL 32080-7421
Phone
(904) 679-3449
Fax
(904) 679-3436
NPI assigned
Nov 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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 PT43390 FL Primary

Addresses

Primary practice location

4299 A1A S
St Augustine, FL 32080-7421

Mailing address

220 Palmetto Ridge Rd
Saint Augustine, FL 32095-8388
Phone (470) 219-1229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250203000729 PA Practitioner - Physical Therapist in Private Practice 1254860414 Reassigns benefits to 1 organization
I20260217001121 FL Practitioner - Physical Therapist in Private Practice 1254860414 Reassigns benefits to 1 organization

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
Saint Augustine Rehabilitation Specialists LLCGroup PAC ID 8426107293, 38 clinicians
Team King Physical Therapy LLCGroup PAC ID 6002181484, 8 clinicians

Practice addresses (Care Compare)

4299 A1A
Saint Augustine, FL 32080-7421
Phone (904) 679-3449

905 Spruce St
Suite 104
Irwin, PA 15642-3683
Phone (724) 382-4206

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT43390FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Augustine Rehabilitation Specialists LLC Physical Therapist CurrentSince Feb 11, 2026 Accepting new patients
Team King Physical Therapy LLC Physical Therapist CurrentSince Dec 23, 2024 Accepting new patients
Saint Augustine Rehabilitation Specialists LLC Physical Therapist CurrentSince Feb 11, 2026 Accepting new patients

Locations

105 Mariner Health Way
Ste 213
St Augustine, FL 32086
Phone (904) 217-4259

4299 A1A S
St Augustine, FL 32080
Phone (904) 217-4259

1010 Mill St
Ste 3
Harrison City, PA 15636
Phone (724) 392-1043

905 Spruce St
Ste 104
Irwin, PA 15642
Phone (724) 382-4206

Organizations & group practices 3

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": "1604880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1750983474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 PALMETTO RIDGE RD",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320958388",
            "telephone_number": "470-219-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4299 A1A S",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320807421",
            "telephone_number": "904-679-3449",
            "fax_number": "904-679-3436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURES",
        "first_name": "KATHRYN",
        "middle_name": "LOUISE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-09",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT43390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.