Healthcare Provider Details

I. General information

NPI: 1386923738
Provider Name (Legal Business Name): CAROLINE BURNS DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/16/2011
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

630 PARK AVE
BRIELLE NJ
08730-1810
US

IV. Provider business mailing address

630 PARK AVE
BRIELLE NJ
08730-1810
US

V. Phone/Fax

Practice location:
  • Phone: 609-902-1464
  • Fax:
Mailing address:
  • Phone: 609-902-1464
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number40QA01634600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: