Provider Demographics
NPI:1013985027
Name:BURNS, DIGNA M (PT)
Entity Type:Individual
Prefix:MS
First Name:DIGNA
Middle Name:M
Last Name:BURNS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:DIDI
Other - Middle Name:MARIA
Other - Last Name:DOCAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:1262 WOOD LN
Mailing Address - Street 2:SUITE 102
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-1769
Mailing Address - Country:US
Mailing Address - Phone:215-741-9315
Mailing Address - Fax:
Practice Address - Street 1:1262 WOOD LN
Practice Address - Street 2:STE 102
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-1769
Practice Address - Country:US
Practice Address - Phone:215-741-9315
Practice Address - Fax:215-741-9317
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2007-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT012518L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1010317840002Medicaid
PA2425643000OtherIBC
PA064501Q5SMedicare PIN