Individual provider · Type 1 NPI

Zackery Layne Burkholder, PTA

Physical Therapy Assistant · Tampa, FL

NPI number 1720454085 Active

Practice location

12705 Race Track Rd
Tampa, FL 33626-1314

Mailing address

11706 Crowned Sparrow Ln
Tampa, FL 33626-2650

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA25917 (FL)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1720454085

Zackery Layne Burkholder, PTA's National Provider Identifier is 1720454085, issued on Aug 20, 2015. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Tampa, FL. The record was last updated on Mar 7, 2025.