Active NPI
Candace Burghardt, PT
- Physical Therapist
- Oneonta, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0115091
- Practice address
- 1846 County Highway 48
Oneonta, NY 13820-3544 - Phone
- (607) 433-7300
- Fax
- (607) 433-7300
- NPI assigned
- Mar 30, 2006
- Last updated
- Mar 12, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0115091 | NY | Primary |
Addresses
Primary practice location
1846 County Highway 48
Oneonta, NY 13820-3544
Mailing address
20 Peachtree CT
Suite 105
Holbrook, NY 11741-4616
Phone (631) 467-3700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4 Cartwright Ave
Sidney, NY 13838-1206
Phone (607) 563-2929
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0115091 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Core Performance Physical Therapy PLLC | Physical Therapist | Current | Accepting new patients |
| Seco Occupational Therapy PC | Past | Accepting new patients | |
| Kathleeen a Novick, M.a.,P.T. | Past | Accepting new patients |
Locations
33 Central Plz
Ilion, NY 13357
Phone (315) 895-4016
27482 State Highway 23
Ste 3
Stamford, NY 12167
Phone (607) 652-2140
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Sidney, NY
- NPI 1992784797
-
- Physical Therapy Clinic/Center
- Stamford, NY
- NPI 1063138287
Physical Therapist
-
- Physical Therapy Clinic/Center
- Amityville, NY
- NPI 1720112790
-
- Occupational Therapist
- Norwich, NY
- NPI 1548220478
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331510400000",
"number": "1316908379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 PEACHTREE CT",
"address_2": "SUITE 105",
"city": "HOLBROOK",
"state": "NY",
"postal_code": "117414616",
"telephone_number": "631-467-3700",
"fax_number": "631-467-0928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1846 COUNTY HIGHWAY 48",
"city": "ONEONTA",
"state": "NY",
"postal_code": "138203544",
"telephone_number": "607-433-7300",
"fax_number": "607-433-7300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURGHARDT",
"first_name": "CANDACE",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-30",
"last_updated": "2012-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "0115091",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oneonta, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.