MEDICARE: XCELERATE THERAPY CENTER INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1932912094
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	XCELERATE THERAPY CENTER INC

Provider Business Mailing Address
First Line	:	144 W LOS ANGELES AVE STE 110
Second Line	:
City	:	MOORPARK
State	:	CA
Zip	:	93021-4218
Country	:	US
Telephone Number	:	805-552-1915
Fax Number	:	805-552-1991

Provider Business Practice Location Address
First Line	:	144 W LOS ANGELES AVE STE 110
Second Line	:
City	:	MOORPARK
State	:	CA
Zip	:	93021-4218
Country	:	US
Telephone Number	:	805-552-1915
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PHYSICAL THERAPIST
Name	:	DR. CARRIE BURGERT
Credential	:	DPT
Telephone Number	:	805-405-5038

Provider Enumeration Date	:	01/30/2025
Last Update Date	:	03/18/2025

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