Active NPI
Cambrian Rehabilitation Associates, P.C.
Doing business as PennCare Physical Therapy
- Physical Therapist
- Patton, PA
National Provider Identifier
1013936392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT006763-L
- Legal business name
- CAMBRIAN REHABILITATION ASSOCIATES, P.C.
- Doing business as
- PennCare Physical Therapy
- Practice address
- 503 Railroad Ave
Suite 3 Patton Plaza
Patton, PA 16668-1342 - Phone
- (814) 674-2216
- Fax
- (814) 674-3716
- NPI assigned
- Jul 18, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John D Burmeister Jr., B.S.P.T.
- Title
- Co-Owner
- Phone
- (814) 672-5700
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT003879-L | PA | |
| Physical Therapist | 225100000X | PT006763-L | PA | Primary |
Addresses
Primary practice location
503 Railroad Ave
Suite 3 Patton Plaza
Patton, PA 16668-1342
Mailing address
503 Railroad Ave
Suite 3 Patton Plaza
Patton, PA 16668-1342
Phone (814) 674-2218
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005842 | Other | PA | HIGHMARK |
| 01896995 | Medicaid | PA |
Other names 1
- PennCare Physical Therapy
National Provider Directory
National Provider DirectoryLocations
503 Railroad Ave
Ste 3
Patton, PA 16668
Phone (814) 674-2216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1013936392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "503 RAILROAD AVE",
"address_2": "SUITE 3 PATTON PLAZA",
"city": "PATTON",
"state": "PA",
"postal_code": "166681342",
"telephone_number": "814-674-2218",
"fax_number": "814-674-3716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 RAILROAD AVE",
"address_2": "SUITE 3 PATTON PLAZA",
"city": "PATTON",
"state": "PA",
"postal_code": "166681342",
"telephone_number": "814-674-2216",
"fax_number": "814-674-3716"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAMBRIAN REHABILITATION ASSOCIATES, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BURMEISTER",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "814-672-5700",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "B.S.P.T."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT003879-L",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT006763-L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "005842",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01896995",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "PennCare Physical Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Patton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.