Healthcare Provider Details

I. General information

NPI: 1932912094
Provider Name (Legal Business Name): XCELERATE THERAPY CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2025
Last Update Date: 03/18/2025
Certification Date: 03/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

144 W LOS ANGELES AVE STE 110
MOORPARK CA
93021-4218
US

IV. Provider business mailing address

144 W LOS ANGELES AVE STE 110
MOORPARK CA
93021-4218
US

V. Phone/Fax

Practice location:
  • Phone: 805-552-1915
  • Fax:
Mailing address:
  • Phone: 805-552-1915
  • Fax: 805-552-1991

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. CARRIE BURGERT
Title or Position: OWNER/PHYSICAL THERAPIST
Credential: DPT
Phone: 805-405-5038