Cara Nicole Burgan, PTA
Individual provider Active NPI Physical Therapy Assistant · Williamsport, MD
NPI 1891380994 · NPPES record last updated Mar 2, 2021
Key facts
- NPI
- 1891380994
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- A5268 (MD)
- Practice address
- 16505 Virginia Ave
Williamsport, MD 21795-1321 - Phone
- (301) 582-1750
- NPI assigned
- Mar 2, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A5268 | MD | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | A5268 | MD | Yes |
Addresses
Primary practice location
16505 Virginia Ave
Williamsport, MD 21795-1321
Mailing address
10119 Melody LN
Hagerstown, MD 21740-9569
Phone (240) 382-4631
Other providers in Williamsport, MD
- Jonathan Boyer
- Brooke Grove Foundation, Inc.
- Amy Brown
- Jessica Buchanan
- Kayle Buchanan
- Kelsey Buterbaugh
- Karen Jill C Iccarelli
- Cynthia L Campbell
- Rebecca Anne Cavanaugh
- Cedar Ridge Children'S Home and School
All providers in Williamsport, MD · Physical Therapy Assistant in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.