Active NPIIndividual provider

Ethan Burger, PT

Physical Therapist in Pomona, New York

NPI Number1194147504
Practice location
26 Firemens Memorial Dr, Suite 115, Pomona, NY 10970-3553
Fax
845-362-8474
Last updated
January 7, 2015

Ethan Burger is a Physical Therapist based in Pomona, NY. Ethan Burger practices in Pomona, NY and has the professional credentials of PT. The NPI Number for Ethan Burger is 1194147504 and holds a License No. 037222 (NY). The current practice location address for Ethan Burger is 26 Firemens Memorial Dr, Suite 115, Pomona, NY 10970-3553 and can be reached out via phone at 845-362-8400 and via fax at 845-362-8474.

Provider Profile Details

NPI Number
1194147504
Provider Name
Ethan Burger
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
26 Firemens Memorial Dr, Suite 115, Pomona, NY 10970-3553
Phone Number
845-362-8400
Fax Number
845-362-8474
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
January 21, 2014
Last Update Date
January 7, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
26 Firemens Memorial Dr
Suite 115
Pomona, NY 10970-3553
City
Pomona
Zip
10970-3553
Phone Number
845-362-8400
Fax Number
845-362-8474
Pomona, NY 10970Get directions →

Provider Business Mailing Address Details

Address
160 E 56TH St
New York, NY 10022-3609
City
New York
State
NY
Zip
10022-3609
Phone Number
800-750-8616
Fax Number
845-362-8474

License Information

License Number
037222
License State
NY
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ethan Burger, PT?

The NPI number of Ethan Burger, PT is 1194147504. It was assigned on January 21, 2014 and is currently active in the NPPES registry.

What is the specialty of Ethan Burger, PT?

Ethan Burger, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NY under license number 037222.

Where does Ethan Burger, PT practice?

The practice location is 26 Firemens Memorial Dr, Suite 115, Pomona, NY 10970-3553. The office can be reached at 845-362-8400 (phone) or 845-362-8474 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194147504 directly on the NPPES registry website.

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