Active NPI
Karl Bergmann, PT
- Orthopedic Physical Therapist
- Mechanicsburg, PA
National Provider Identifier
1033270681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT026501
- Practice address
- 5043 Ravenwood Rd
Mechanicsburg, PA 17055-6783 - Phone
- (757) 268-6954
- NPI assigned
- Dec 13, 2006
- Last updated
- Apr 3, 2018
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 024410 | NY | |
| Orthopedic Physical Therapist | 2251X0800X | PT026501 | PA | Primary |
Addresses
Primary practice location
5043 Ravenwood Rd
Mechanicsburg, PA 17055-6783
Mailing address
5043 Ravenwood Rd
Mechanicsburg, PA 17055-6783
Phone (757) 268-6954
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024410 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PHS Physical Therapy, LLC | Orthopedic | Current | Accepting new patients |
| Phoenix Rehabilitation and Health Services, Inc. | Past | Accepting new patients |
Locations
950 Walnut Bottom Rd
Ste 19
Carlisle, PA 17015
Phone (717) 245-0610
1535 Highlands Dr
Ste 200
Lititz, PA 17543
Phone (717) 625-5731
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.
-
dba Select Physical Therapy
- Physical Therapist
- Camp Hill, PA
- NPI 1912300096
Orthopedic
-
- Physical Therapist
- Mechanicsburg, PA
- NPI 1407895550
-
- Physical Therapist
- Cranberry Township, PA
- NPI 1720084155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522713600000",
"number": "1033270681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5043 RAVENWOOD RD",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170556783",
"telephone_number": "757-268-6954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5043 RAVENWOOD RD",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170556783",
"telephone_number": "757-268-6954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGMANN",
"first_name": "KARL",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-13",
"last_updated": "2018-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NY",
"license": "024410",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "PA",
"license": "PT026501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mechanicsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.