Healthcare Provider Details

I. General information

NPI: 1972355006
Provider Name (Legal Business Name): ALEXIS BURTON PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2024
Last Update Date: 12/20/2025
Certification Date: 12/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 SPRING VALLEY RD
OSSINING NY
10562-2001
US

IV. Provider business mailing address

4107 PRO AM AVE E
BRADENTON FL
34203-4014
US

V. Phone/Fax

Practice location:
  • Phone: 914-333-7000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number206227
License Number StateAK
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number54369
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: