Rebecca Christine Berry

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT22107555

Practice address

16 N Gladstone Ave
Indianapolis, IN 46201-3602

Phone

(317) 384-3203

NPI assigned

Jun 24, 2022

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 24, 2022.

{
    "created_epoch": "1656028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656028800000",
    "number": "1043942584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 N GLADSTONE AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462013602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 N GLADSTONE AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462013602",
            "telephone_number": "317-384-3203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "REBECCA",
        "middle_name": "CHRISTINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-24",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": "MT22107555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kent Berry, PH.D
• Lakyah Berry
• Michele L Berry
• Natalie Berry, RBT
• Rana Snipe Berry, MD
• Saundra K Berry, LMFT, LCSW
• Toccaria Berry
• William A Berry, MD
• William Coleman Evans Berry, MD
• Zakkiryah Berry, RBT

• All providers in Indianapolis, IN
• Massage Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.