Individual
MR. JONATHAN NICK BURROUGHS
Active
Individual
MR. JONATHAN NICK BURROUGHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305202962
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0575302
AETNA
VA
01
—
259904
MAMSI
VA
01
—
436991
ANTHEM-BLACKSBURG OFFICE
VA
01
—
436992
ANTHEM-PEARISBURG OFFICE
VA
Enumeration date
10/11/2005
Last updated
07/13/2026
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