Organization Active NPI

Cambrian Rehabilitation Associates, P.C.

Doing business as PennCare Physical Therapy

  • Physical Therapist
  • Patton, PA
National Provider Identifier
1013936392
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT006763-L Issued in PA
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
005842OtherPAHIGHMARK
01896995MedicaidPA

Other names 1

  • PennCare Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.