Provider Demographics
NPI:1992487433
Name:BURTON, JAMES COLEMAN (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:COLEMAN
Last Name:BURTON
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2080 FARRELL RD
Mailing Address - Street 2:
Mailing Address - City:MEBANE
Mailing Address - State:NC
Mailing Address - Zip Code:27302-9122
Mailing Address - Country:US
Mailing Address - Phone:336-483-6237
Mailing Address - Fax:
Practice Address - Street 1:4221 GARRETT RD STE 1-2
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-3467
Practice Address - Country:US
Practice Address - Phone:919-493-1204
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-03
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist