Nathan T Burks, DPT
Individual provider Active NPI Physical Therapist · Palm Coast, FL
NPI 1114213832 · NPPES record last updated Oct 17, 2014
Key facts
- NPI
- 1114213832
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT 29626 (FL)
- Practice address
- 70 Town CT
Palm Coast, FL 32164-2540 - Phone
- (386) 597-7962
- Fax
- (866) 929-6036
- NPI assigned
- Jun 21, 2011
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 29626 | FL | MD | Physical Therapist |
| 8967 | TN | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 29626 | FL | Yes |
Addresses
Primary practice location
70 Town CT
Palm Coast, FL 32164-2540
Mailing address
PO Box 1975
Rome, GA 30162-1975
Phone (386) 597-7962
Other providers in Palm Coast, FL
- Burke Collins Therapy, Inc
- Burke Collins Therapy, Inc
- Burke Collins Therapy, Inc
- Burke Collins Therapy, Inc
- Christine Laura Burke
- Alexander Buser
- David Butler
- Evangeline Diaz Butler
- Adam Buttrey
- By Faith Homemaker & Companion Services,Inc.
All providers in Palm Coast, FL · Physical Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.