Healthcare Provider Details

I. General information

NPI: 1003745134
Provider Name (Legal Business Name): KAMERON BURTON PT, DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28 HOLLY CREEK DR
ANDERSON SC
29621-2195
US

IV. Provider business mailing address

4 MCKAY RD
HONEA PATH SC
29654-2022
US

V. Phone/Fax

Practice location:
  • Phone: 864-305-2956
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number13350
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: