Kenneth T Burnett, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305006615 Issued in VA

Practice address

3299 Woodburn Rd Ste 480
Annandale, VA 22003-7333

Phone

(703) 892-6500

Fax

(703) 521-3415

NPI assigned

Jan 22, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, DC2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anderson Clinic LLCGroup PAC ID 2264331263, 75 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Anderson Clinic LLC

  dba Anderson Clinic Inc

  • Orthopaedic Surgery Physician
  • Arlington, VA
  • NPI 1568488799

  DC, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Loudoun Medical Group, PC

  • Internal Medicine Physician
  • Leesburg, VA
  • NPI 1679591440
  Medicare reassignment NPD
• Loudoun Medical Group, PC

  dba Loudoun Medical Group, PC 'D'

  • Vascular Surgery Physician
  • Reston, VA
  • NPI 1588376321
  NPD
• Anderson Clinic LLC

  dba Anderson Clinic Inc

  • Orthopaedic Surgery Physician
  • Oxon Hill, MD
  • NPI 1205666435
  NPD

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1851445456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3299 WOODBURN RD STE 480",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220037333",
            "telephone_number": "703-892-6500",
            "fax_number": "703-521-3415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3299 WOODBURN RD STE 480",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220037333",
            "telephone_number": "703-892-6500",
            "fax_number": "703-521-3415"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19465 Deerfield Ave Ste 208",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "VA",
            "postal_code": "201761703",
            "country_code": "US",
            "telephone_number": "703-858-7778",
            "fax_number": "703-988-1925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURNETT",
        "first_name": "KENNETH",
        "middle_name": "T",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "VA",
            "license": "2305006615",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305006615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sofia Brycock
• Jacqueline Buarque de Macedo, LGSW, MSW
• Ethan H Bui, PHARMD
• Sidratu Aminata Bundu, FNP
• Leonora T. Burger, MSW, LCSW
• Monica Buzzetta, PA-C
• Hyung Sik Byeon, L.AC
• Justine E Byun, M.A., CCC-SLP
• Sergio Fabian Calleja Blanco, DDS
• Susan Diane Campbell, APRN,BS

• Physical Therapist in Annandale, VA
• Providers in Annandale, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.