Mary Kate Burrows

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT017982 Issued in GA

Practice address

1949 Highway 81 Ste 100
Loganville, GA 30052-4583

Phone

(770) 207-6390

NPI assigned

Sep 9, 2025

Last updated

Oct 24, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mary Kate Pass Former name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Legacy Healthcare Services, Inc.

  • Physical Therapist
  • Dawsonville, GA
  • NPI 1528419751
  Medicare reassignment Care Compare group
• Activekidz & Adult Therapy Services

  • Physical Therapist
  • Loganville, GA
  • NPI 1881825057
  NPD (past)
• Activekidz and Adult Therapy Services

  • Physical Therapist
  • Toccoa, GA
  • NPI 1073983953
  NPD (past)

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

{
    "created_epoch": "1757376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1922989888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 CAPITAL AVE STE 123",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306771883",
            "telephone_number": "770-207-6390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1949 HIGHWAY 81 STE 100",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300524583",
            "telephone_number": "770-207-6390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURROWS",
        "first_name": "MARY",
        "middle_name": "KATE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-09",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT017982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "PASS",
            "middle_name": "KATE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• James Frederick Buck, D.C.
• Jene Denise Bugenhagen, LPC, NCC
• Shodetta Remilekun Bun-Mansaray, FNP-C
• Alisa Joyce Burnett, O.D.
• Garrett M Burr, DPT, PT
• Julie E Burton, SLP
• C&C Care Consultants,LLC
• Cathy Shannon Cafarelli, PTA
• Rachel Calhoun
• Keena Cameron

• Physical Therapist in Loganville, GA
• Providers in Loganville, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; 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.