Jeffrey Scott Burleson, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2857 Issued in SC

Practice address

1911 Little Egypt Rd
Whitmire, SC 29178-9065

Phone

(803) 694-4587

NPI assigned

Feb 7, 2013

Last updated

Feb 7, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1360195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360195200000",
    "number": "1114266376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 LITTLE EGYPT RD",
            "city": "WHITMIRE",
            "state": "SC",
            "postal_code": "291789065",
            "telephone_number": "803-694-4587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 LITTLE EGYPT RD",
            "city": "WHITMIRE",
            "state": "SC",
            "postal_code": "291789065",
            "telephone_number": "803-694-4587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURLESON",
        "first_name": "JEFFREY",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-07",
        "last_updated": "2013-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SC",
            "license": "2857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara S Baker, APRN, FNP-C
• Ricky Lee Bledsoe, D.M.D.
• Kelly Davis Loignon, PHARMD
• Newberry County Memorial Hospital (WhitmireMedical Center of Newberry Hospital)
• Newberry County Schools
• R L Bledsoe, DMD PA
• Roche Pharmacy, Inc.

• Physical Therapy Assistant in Whitmire, SC
• Providers in Whitmire, SC by specialty
• Physical Therapy Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.