Active NPI
Joseph Charles Berry, P.T.
- Physical Therapist
- Fairfax, VA
National Provider Identifier
1003025156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 16439
- Practice address
- 4227 Summit Manor CT Apt 103
Fairfax, VA 22033-5734 - Phone
- (941) 447-7992
- NPI assigned
- May 22, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT20119 | FL | |
| Physical Therapist | 225100000X | 16439 | MD | Primary |
Addresses
Primary practice location
4227 Summit Manor CT Apt 103
Fairfax, VA 22033-5734
Mailing address
4227 Summit Manor CT Apt 103
Fairfax, VA 22033-5734
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16439 | MD | MD | Clinical Social Worker |
| PT20119 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1003025156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4227 SUMMIT MANOR CT APT 103",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220335734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4227 SUMMIT MANOR CT APT 103",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220335734",
"telephone_number": "941-447-7992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRY",
"first_name": "JOSEPH",
"middle_name": "CHARLES",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-22",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT20119",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "16439",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.