Carolyn Burns, PT

Individual provider Active NPI Physical Therapist · Marriottsville, MD

NPI 1639453061 · NPPES record last updated Jul 7, 2022

Key facts

NPI
1639453061
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
17332 (MD)
Practice address
2470 Longstone LN Ste K
Marriottsville, MD 21104-1515
Phone
(410) 442-2470
NPI assigned
Oct 4, 2011
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
17332MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 17332 MD Yes

Addresses

Primary practice location

2470 Longstone LN Ste K
Marriottsville, MD 21104-1515

Mailing address

2470 Longstone LN Ste K
Marriottsville, MD 21104-1515
Phone (410) 442-2470

Other providers in Marriottsville, MD

All providers in Marriottsville, MD · Physical Therapist in Maryland

Sources for this page

Verify at the official NPI Registry.