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NPI Code Detail

MEDICARE: THOMAS S BURNS DPT

MEDICARE:   THOMAS S BURNS  DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist036187NY
2225100000XPhysical TherapistPT41803FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PT41803OTHERFLPT LICENSE

General Provider Information

NPI Number : 1033543475
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS S BURNS DPT
Provider Business Mailing Address
First Line : 3955 INDIAN RIVER BLVD
Second Line :
City : VERO BEACH
State : FL
Zip : 32960-4814
Country : US
Telephone Number : 772-257-3621
Fax Number :
Provider Business Practice Location Address
First Line : 3955 INDIAN RIVER BLVD
Second Line :
City : VERO BEACH
State : FL
Zip : 32960-4814
Country : US
Telephone Number : 772-257-3621
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2013
Last Update Date : 02/06/2025

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Directions to “ THOMAS S BURNS DPT” Practice Location

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