Marcus T Burton, PT, DPT
Individual provider Active NPI Physical Therapist · Enterprise, UT
NPI 1114396702 · NPPES record last updated Sep 24, 2015
Key facts
- NPI
- 1114396702
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 9439625-2401 (UT)
- Practice address
- 660 E Main St Suite B
Enterprise, UT 84725-0549 - Phone
- (775) 726-3117
- Fax
- (775) 726-3118
- NPI assigned
- Sep 24, 2015
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
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 |
|---|---|---|---|
| 9439625-2401 | UT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Truman & Moore Therapy | Physical Therapist | Past |
Accepting new patients |
| Lincoln County Hospital District | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 9439625-2401 | UT | Yes |
Addresses
Primary practice location
660 E Main St Suite B
Enterprise, UT 84725-0549
Mailing address
PO Box 103
Caliente, NV 89008-0103
Phone (775) 726-3117
Other providers in Enterprise, UT
- Wyatt D Banks
- Benjamin D Cope, DDS, PC
- Colten Dirk Bracken
- David Cacamis
- City of Enterprise Ambulance
- Celestia Luella Clark I
- Benjamin D Cope
- Enterprise Valley Med Ctr Inc
All providers in Enterprise, UT · Physical Therapist in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2015. 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.