Provider Demographics
NPI:1932912094
Name:XCELERATE THERAPY CENTER INC
Entity type:Organization
Organization Name:XCELERATE THERAPY CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BURGERT
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:805-405-5038
Mailing Address - Street 1:144 W LOS ANGELES AVE STE 110
Mailing Address - Street 2:
Mailing Address - City:MOORPARK
Mailing Address - State:CA
Mailing Address - Zip Code:93021-4218
Mailing Address - Country:US
Mailing Address - Phone:805-552-1915
Mailing Address - Fax:805-552-1991
Practice Address - Street 1:144 W LOS ANGELES AVE STE 110
Practice Address - Street 2:
Practice Address - City:MOORPARK
Practice Address - State:CA
Practice Address - Zip Code:93021-4218
Practice Address - Country:US
Practice Address - Phone:805-552-1915
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-30
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy