Jeffrey Scott Burleson, PTA
Individual provider Active NPI Physical Therapy Assistant · Whitmire, SC
NPI 1114266376 · NPPES record last updated Feb 7, 2013
Key facts
- NPI
- 1114266376
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 2857 (SC)
- Practice address
- 1911 Little Egypt Rd
Whitmire, SC 29178-9065 - Phone
- (803) 694-4587
- NPI assigned
- Feb 7, 2013
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2857 | SC | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2857 | SC | Yes |
Addresses
Primary practice location
1911 Little Egypt Rd
Whitmire, SC 29178-9065
Mailing address
1911 Little Egypt Rd
Whitmire, SC 29178-9065
Phone (803) 694-4587
Other providers in Whitmire, SC
- Tamara S Baker
- Ricky Lee Bledsoe
- Kelly Davis Loignon
- Newberry County Memorial Hospital
- Newberry County Schools
- R L Bledsoe, DMD PA
- Roche Pharmacy, Inc.
All providers in Whitmire, SC · Physical Therapy Assistant in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2013. 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.