Provider Demographics
NPI:1922339399
Name:BURKE, JONATHAN FELL (DPT)
Entity Type:Individual
Prefix:
First Name:JONATHAN
Middle Name:FELL
Last Name:BURKE
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1808 GADSDEN HWY
Mailing Address - Street 2:SUITE 136
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35235-3139
Mailing Address - Country:US
Mailing Address - Phone:205-655-8866
Mailing Address - Fax:
Practice Address - Street 1:1808 GADSDEN HWY
Practice Address - Street 2:SUITE 136
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35235-3139
Practice Address - Country:US
Practice Address - Phone:205-655-8866
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-24
Last Update Date:2010-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH49092251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic