Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Zackery Layne Burkholder, PTA

Individual provider Physical Therapy Assistant · NPI 1720454085

Zackery Layne Burkholder, PTA is a Physical Therapy Assistant in Tampa, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2015
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

12705 Race Track Rd
Tampa, FL 33626-1314
Phone: (813) 343-3960
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA25917 (FL)

Record details

NPI number1720454085
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedAugust 20, 2015
Last updated in NPPESMarch 7, 2025
Certification dateMarch 7, 2025

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