Individual provider Active NPI

Edward C Burnetta, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Villanova, PA
National Provider Identifier
1689696486
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MD059218L Issued in PA
Practice address
2075 County Line Rd
Villanova, PA 19085-1732
Phone
(610) 642-1413
NPI assigned
Jul 24, 2006
Last updated
Jul 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X MD059218L PA Primary
Sports Medicine (Neuromusculoskeletal Medicine) Physician 204C00000X MD-059218-L PA

Addresses

Primary practice location

2075 County Line Rd
Villanova, PA 19085-1732

Mailing address

2075 County Line Rd
Villanova, PA 19085-1732
Phone (610) 642-1413

Other identifiers 1

IdentifierTypeStateIssuer
0073081140001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040407000479 PA Practitioner - Physical Medicine and Rehabilitation 7810980638 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edward Burnetta MD LLCGroup PAC ID 2668576265, 10 clinicians

Practice addresses (Care Compare)

2075 County Line Rd
Villanova, PA 19085-1732
Phone (610) 642-1413

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD-059218-LPAMDSports Medicine (Neuromusculoskeletal Medicine) Physician
MD059218LPAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Edward Burnetta MD LLC Multi-Specialty CurrentSince Apr 9, 2007 Accepting new patients
PA Rehab Associates PC Multi-Specialty Past Accepting new patients
Cooper Physical Medicine & Rehabilitation Associates, PC Multi-Specialty PastSince Aug 7, 2006 Accepting new patients
RDS Rehabilitation Associates Multi-Specialty Past Accepting new patients
Broad Wellness and Chiropractic Center, P.C. Multi-Specialty PastSince Nov 1, 2022 Accepting new patients
Tara Lyn Cuda DO PC Multi-Specialty Past Accepting new patients
Dr. Ernest M. Baran, P.C. Multi-Specialty Past Accepting new patients
Valley Wellness, P.C. Multi-Specialty PastSince Nov 1, 2022 Accepting new patients
Advance Chiropractic Clinic PC Multi-Specialty PastSince Oct 1, 2022 Accepting new patients
Haverford Comprehensive Wellness, P.C. Multi-Specialty PastSince Nov 1, 2022 Accepting new patients

Locations

905 Tower Rd
Bristol, PA 19007
Phone (215) 785-2109

773 E Haverford Rd
Bryn Mawr, PA 19010
Phone (610) 525-8300

318 S Orange St
Media, PA 19063
Phone (610) 566-1400

1104 Welsh Rd
Philadelphia, PA 19115
Phone (215) 676-7191

2601 Holme Ave
Philadelphia, PA 19152
Phone (215) 335-6000

650 Edison Ave
Philadelphia, PA 19116
Phone (215) 673-5700

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1689696486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 COUNTY LINE RD",
            "city": "VILLANOVA",
            "state": "PA",
            "postal_code": "190851732",
            "telephone_number": "610-642-1413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 COUNTY LINE RD",
            "city": "VILLANOVA",
            "state": "PA",
            "postal_code": "190851732",
            "telephone_number": "610-642-1413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNETTA",
        "first_name": "EDWARD",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "MD059218L",
            "primary": true
        },
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "PA",
            "license": "MD-059218-L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0073081140001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Villanova, PA

Sources for this page

Verify at the official NPI Registry.