Individual
CARRIE BURGERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT29733
CA
225100000X
Physical Therapist
Primary
PT29733
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
264440100
DEPT OF LABOR
CA
01
—
OPT297330
BLUE SHIELD INDIVIDUAL
CA
01
—
ZZZ082282
BLUE SHIELD
CA
Enumeration date
11/06/2006
Last updated
06/18/2026
Update your record
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