Sandra Burnley Short, PTA
Individual provider Active NPI Physical Therapy Assistant · New Freedom, PA
NPI 1922590843 · NPPES record last updated Jun 6, 2018
Key facts
- NPI
- 1922590843
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- A4930 (MD)
- Practice address
- 5 Otis CT
New Freedom, PA 17349-9755 - Phone
- (757) 291-4589
- NPI assigned
- Jun 6, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| A4930 | MD | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant |
225200000X | A4930 | MD | Yes |
Addresses
Primary practice location
5 Otis CT
New Freedom, PA 17349-9755
Mailing address
5 Otis CT
New Freedom, PA 17349-9755
Phone (757) 291-4589
Other names
- Miss Sandra Lea Burnley
Other providers in New Freedom, PA
- Jean Elaine Rudisill
- Michelle L Runge
- Jamie Lynne Rygiel
- Justin Savakinus
- Michelle Lorraine Schlosser
- Denise Dianne Simmons
- Harnoor Singh
- Lauren Renee Smith-Leed
- Erik Sprohge
- Stonebridge Dental LLC
All providers in New Freedom, PA · Physical Therapy Assistant in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2018. 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.