NPIMap

Organization Active NPI

Lycoming Physical Therapy LTD

  • Physical Therapist
  • Montoursville, PA
National Provider Identifier
1689652497
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
LYCOMING PHYSICAL THERAPY LTD
Practice address
1009 Broad Street
Montoursville, PA 17754
Phone
(570) 368-8389
Fax
(570) 368-8391
NPI assigned
Jan 3, 2006
Last updated
Oct 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Robert J Burger, PTNPI 1851376156
Title
Owner
Phone
(570) 368-8389

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1009 Broad Street
Montoursville, PA 17754

Mailing address

1009 Broad St
Montoursville, PA 17754-2509
Phone (570) 368-8389

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040707000090 PA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2860479920 Receives reassigned benefits from 12 practitioners
Practice locations: Montoursville, PA; Muncy, PA

National Provider Directory

National Provider Directory

Locations

57 Reitz Blvd
Ste 1
Lewisburg, PA 17837
Phone (510) 523-6417

1009 Broad St
Montoursville, PA 17754
Phone (570) 368-8389

268 Broad St
Montoursville, PA 17754
Phone (570) 368-2413

1199 E Penn St
Muncy, PA 17756
Phone (570) 935-0128

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759363200000",
    "number": "1689652497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 BROAD ST",
            "city": "MONTOURSVILLE",
            "state": "PA",
            "postal_code": "177542509",
            "telephone_number": "570-368-8389",
            "fax_number": "570-368-8391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 BROAD STREET",
            "city": "MONTOURSVILLE",
            "state": "PA",
            "postal_code": "17754",
            "telephone_number": "570-368-8389",
            "fax_number": "570-368-8391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYCOMING PHYSICAL THERAPY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-03",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A",
        "authorized_official_last_name": "BURGER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-368-8389",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montoursville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.