Individual provider · Type 1 NPI

Breanna Burns, PTA

Physical Therapy Assistant · Fort Drum, NY

NPI number 1992636047 Active

Practice location

11050 Mt Belvedere Blvd
Fort Drum, NY 13602-2603

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X012211-01 (NY)

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 1992636047

Breanna Burns, PTA's National Provider Identifier is 1992636047, issued on May 27, 2026. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Fort Drum, NY. The record was last updated on May 27, 2026.