Healthcare Provider Details

I. General information

NPI: 1093273526
Provider Name (Legal Business Name): BRIDGETTE DARTON PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/04/2019
Last Update Date: 04/10/2025
Certification Date: 04/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 E ARLINGTON BLVD
GREENVILLE NC
27858-5868
US

IV. Provider business mailing address

1301 E ARLINGTON BLVD
GREENVILLE NC
27858-5868
US

V. Phone/Fax

Practice location:
  • Phone: 252-565-8812
  • Fax:
Mailing address:
  • Phone: 252-565-8812
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081S0010X
TaxonomySports Medicine (Physical Medicine & Rehabilitation) Physician
License NumberP21798
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: