KAITLYN MARIE BURLEY (NPI# 1740825991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740825991 |
Entity Type | Individual |
Full Name | KAITLYN MARIE BURLEY |
Credential | DPT |
Practice Address |
4155 County Road 101 N Plymouth MN 55446-2307 |
Practice Telephone | 9529938900 |
Mailing Telephone | 9529938900 |
Enumeration Date | 2019-11-12 |
Last Update Date | 2019-11-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
11650 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
4155 COUNTY ROAD 101 N |
City | PLYMOUTH |
State | MN |
Zip Code | 55446-2307 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386614709 | Gail T Griffin | Family Medicine | 4155 County Road 101 N, Plymouth, MN 55446 | 2006-01-26 |
1407414451 | Sari Ruth Abelson | Physical Therapist | 4155 County Road 101 N, Plymouth, MN 55446-2307 | 2019-06-04 |
1285086074 | Kaitlin Carol Schultz | Physical Therapist | 4155 County Road 101 N, Plymouth, MN 55446-2307 | 2016-07-06 |
1073904306 | Sarah Mugge | Physical Therapist | 4155 County Road 101 N, 2nd Floor, Plymouth, MN 55446-2307 | 2015-02-09 |
1699173773 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 4155 County Road 101 N, Plymouth, MN 55446-2307 | 2014-12-05 |
1407255318 | Monica Cristine Bertani | Physical Therapist | 4155 County Road 101 N, Plymouth, MN 55446-2307 | 2014-08-15 |
1770862534 | Tamara Janousek | Occupational Therapist | 4155 County Road 101 N, Plymouth, MN 55446 | 2011-08-11 |
1154365393 | Wanda J Ethen | Internal Medicine | 4155 County Road 101 N, Plymouth, MN 55446-2307 | 2006-06-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114552379 | Molly M Mahoney | Pharmacist | 4110 Juneau Lane N, Plymouth, MN 55446 | 2020-03-09 |
1073064804 | Owen Payne Kusick | Student in an Organized Health Care Education/Training Program | 16717 49th Pl N, Plymouth, MN 55446 | 2016-10-17 |
1043696214 | Kari Shoemaker | Speech-Language Pathologist | 5855 Cheshire Parkway, Plymouth, MN 55446 | 2015-08-10 |
1902206899 | Kathleen E Steensma | Nurse Practitioner | 15700 37th Ave N. #110, Plymouth, MN 55446 | 2014-08-27 |
1851715163 | Group Health Plan Inc | Clinic/Center | 5000 Fernbrook Ln N, Plymouth, MN 55446 | 2014-02-06 |
1588903009 | Laura Davidson | Physician Assistant | 3365 Plymouth Blvd., Suite 110, Plymouth, MN 55446 | 2013-02-04 |
1366680688 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 6025 Shenandoah Ln N, Plymouth, MN 55446 | 2009-01-23 |
1205046646 | Merida A Miller | Obstetrics & Gynecology | 4155 Cty Rd 101 N, Plymouth, MN 55446 | 2007-05-23 |
1376684746 | West Metro Ophthalmology, Pa | Ophthalmology | 15655 37th Ave N Ste 200, Plymouth, MN 55446 | 2007-02-09 |
1952401390 | Grand St Paul Cvs LLC | Pharmacy | 4140 Rd 101 N, Plymouth, MN 55446 | 2006-09-25 |
Find all providers in zip 55446 |
Taxonomy Code | 2251X0800X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Orthopedic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568686004 | Rebecca Jean Smith | Physical Therapist | 818 E Clifford St, Plymouth, WI 53073-2436 | 2007-04-13 |
1295131357 | Eva Gabriela Martinez | Physical Therapist | 2855 Campus Dr, Suite 650, Plymouth, MN 55441-2649 | 2014-11-17 |
1508101544 | Markus M Mijnsbergen | Physical Therapist | 650 S Main St, Plymouth, MI 48170-1711 | 2012-12-03 |
1972878593 | Heinrich Oskar Comuth | Physical Therapist | 650 S Main St, Plymouth, MI 48170-1711 | 2012-03-15 |
1912224106 | Phillip Norman Schuyten | Physical Therapist | 9368 N Lilley Rd, Plymouth, MI 48170-4610 | 2010-04-27 |
1093848996 | Jayne Ellen Long | Physical Therapist | 2805 Campus Dr, Plymouth, MN 55441-2676 | 2007-03-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063930493 | Thomas Broback | Physical Therapist | 14382 60th St N, Stillwater, MN 55082-6311 | 2017-09-06 |
1134667686 | Tiffany Moriarity | Physical Therapist | 13690 Rogers Dr Ste 180, Rogers, MN 55374-9309 | 2017-02-04 |
1437603016 | Mark Deschepper | Physical Therapist | 1600 University Ave W # 10, Saint Paul, MN 55104-3898 | 2016-08-11 |
1750757522 | Caleb Vizina | Physical Therapist | 1116 County Road 6 Sw, Howard Lake, MN 55349 | 2015-08-17 |
1467867010 | Andrea Price | Physical Therapist | 5775 Wayzata Blvd Ste 900, Saint Louis Park, MN 55416-2674 | 2014-06-23 |
1124431481 | John E Amundson | Physical Therapist | 410 30th Ave E Ste 102, Alexandria, MN 56308-4770 | 2014-06-04 |
1285975078 | Jacob Allen Wendland | Physical Therapist | 1304 W Lincoln Ave Ste C, Fergus Falls, MN 56537-4818 | 2013-03-05 |
1740524867 | Lisa Zeman | Physical Therapist | 8900 109th Ave N Ste 700, Champlin, MN 55316-3150 | 2012-11-15 |
1326309709 | Jacob Kretschmar | Physical Therapist | 13274 53rd St Ne, Spicer, MN 56288-9437 | 2012-06-02 |
1225279516 | Patricia F Knecht | Physical Therapist | 1560 Beam Ave Ste D, Maplewood, MN 55109-1171 | 2009-03-16 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.