Individual provider Active NPI

Loverna Abella Bero, PT DPT

  • Physical Therapist
  • Glen Rock, NJ
National Provider Identifier
1023557394
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01739800 Issued in NJ
Practice address
266 Harristown Rd Ste 304
Glen Rock, NJ 07452-3321
Phone
(862) 228-4636
NPI assigned
Feb 18, 2017
Last updated
Jan 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 041228-1 NY
Physical Therapist 225100000X 40QA01739800 NJ Primary

Addresses

Primary practice location

266 Harristown Rd Ste 304
Glen Rock, NJ 07452-3321

Mailing address

718 23Rd St Apt 1
Union City, NJ 07087-9133
Phone (862) 228-4636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170925000091 NY Practitioner - Physical Therapist in Private Practice 1759655145 Reassigns benefits to 1 organization
I20210630002274 NJ Practitioner - Physical Therapist in Private Practice 1759655145 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bergen Medical Sports and Spine, Inc.Group PAC ID 8022203033, 15 clinicians
Sportsmed PT LLCGroup PAC ID 0749535805, 183 clinicians

Practice addresses (Care Compare)

1 Sears Dr
Paramus, NJ 07652-3510
Phone (201) 261-5220

211 Berdan Ave
Wayne, NJ 07470-3236
Phone (201) 249-6930

266 Harristown Rd
Suite 200
Glen Rock, NJ 07452-3354
Phone (201) 445-7000

403 Valley Brook Ave
Lyndhurst, NJ 07071-1935
Phone (201) 345-5905

4706 Bergenline Ave
Union City, NJ 07087-5112
Phone (201) 574-7770

5665 JFK Boulevard
Suite 7
North Bergen, NJ 07047-3223
Phone (973) 692-6400

634 Summit Ave
Jersey City, NJ 07306-3705
Phone (551) 355-0010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041228-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
RB Physical and Occupational Therapy PLLC Physical Therapist CurrentSince Sep 6, 2019 Accepting new patients
Sportsmed PT LLC Physical Therapist CurrentSince Jun 24, 2021 Accepting new patients
Bergen Medical Sports & Spine, Inc. CurrentSince Apr 13, 2024 Accepting new patients

Locations

981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511

266 Harristown Rd
Ste 304
Glen Rock, NJ 07452
Phone (201) 345-5905

1 Sears Dr
Ste 305
Paramus, NJ 07652
Phone (201) 261-5220

1414 Newkirk Ave
Brooklyn, NY 11226
Phone (718) 434-4311

2565 E 17th St
Brooklyn, NY 11235
Phone (347) 492-4083

4013 Avenue U
Brooklyn, NY 11234
Phone (718) 692-0949

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1487376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1023557394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 23RD ST APT 1",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070879133",
            "telephone_number": "862-228-4636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 HARRISTOWN RD STE 304",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074523321",
            "telephone_number": "862-228-4636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERO",
        "first_name": "LOVERNA",
        "middle_name": "ABELLA",
        "credential": "PT DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-18",
        "last_updated": "2024-01-30",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "041228-1",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01739800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Rock, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.