Justine Danielle Burrell, PT
Individual provider Active NPI Physical Therapist · Forest City, PA
NPI 1891924601 · NPPES record last updated Nov 2, 2010
Key facts
- NPI
- 1891924601
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT020022 (PA)
- Practice address
- 354 Main St
Forest City, PA 18421-1418 - Phone
- (570) 785-2018
- Fax
- (570) 785-2061
- NPI assigned
- Jul 14, 2009
- 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)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT020022 | PA | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT020022 | PA | Yes |
Addresses
Primary practice location
354 Main St
Forest City, PA 18421-1418
Mailing address
441 Marion St
Browndale, PA 18421-1228
Phone (570) 960-1782
Other providers in Forest City, PA
- Suzanne Atcavage
- Alexandra Besten
- Michael David Bickerstaff
- James N Bogart
- Jennifer Brown
- Emily Chee
- Christine M Chesna
- Christa Mackenzie Chmil
- Comprehensive Physical Therapy, Inc
- Cooney & O'Hara Medical Equipment
All providers in Forest City, 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 Nov 2, 2010. 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.