Charles Alan Burpee, MSPT
Individual provider Active NPI Physical Therapist · Montrose, PA
NPI 1366410524 · NPPES record last updated Aug 6, 2024
Key facts
- NPI
- 1366410524
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT032652 (PA)
- Practice address
- 417 Grow Ave
Montrose, PA 18801-1105 - Phone
- (570) 278-1101
- Fax
- (570) 278-1102
- NPI assigned
- Mar 14, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pivot Physical Therapy of Pennsylvania LLC
Practice addresses (Care Compare)
417 Grow Ave
Montrose, PA 18801-1105
Phone (570) 278-1101
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.59 of 100
- Quality
- 78.3
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.17
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NY, PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060315000620 | NY | Practitioner - Physical Therapist in Private Practice | 7911914163 | Reassigns benefits to 1 organization |
| I20240821000311 | PA | Practitioner - Physical Therapist in Private Practice | 7911914163 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT032652 | PA | MD | Physical Therapist |
| 022567 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Medical Associates PC | Current |
Accepting new patients | |
| United Medical Associates, P.C. | Current |
Accepting new patients | |
| Pivot Physical Therapy of Pennsylvania, LLC | Physical Therapist | Current |
Accepting new patients |
| Procare Physical Therapy Inc | Physical Therapist | Past |
Accepting new patients |
| Dynamic Therapy Services, LLC | Physical Therapist | Past | Accepting new patients |
Locations
2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250
91 Chenango Bridge Rd
Binghamton, NY 13901
Phone (607) 648-4151
346 Grand Ave
Johnson City, NY 13790
Phone (607) 729-8156
33-57 Harrison St
Johnson City, NY 13790
Phone (607) 763-6412
417 Grow Ave
Montrose, PA 18801
Phone (570) 278-1101
655 Northern Blvd
South Abington Township, PA 18411
Phone (570) 587-2142
130 W Main St
Ste 100B
Trappe, PA 19426
Phone (484) 471-6850
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 022567 | NY | |
| Physical Therapist | 225100000X | PT032652 | PA | Yes |
Addresses
Primary practice location
417 Grow Ave
Montrose, PA 18801-1105
Mailing address
2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (570) 550-0168
Other practice location 1
91 Chenango Bridge Rd
Binghamton, NY 13901-1293
Phone (607) 648-9292
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02730207 | Medicaid | NY |
Other providers in Montrose, PA
- Mary E Battaglini
- Binghamton Optical Inc
- Charmarie Vandermark Bisel
- Amanda D. Boatman
- Kayonna Bruzek
- Button-Weller Chiropractic DC PC
- Jennifer Lynn Button-Weller
- Judith Carroll
- Kate Castrogiovanni
- Hengjia Chen
All providers in Montrose, PA · Physical Therapist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.