Jason Carlton Berry, PTA
Individual provider Active NPI Physical Therapy Assistant · Topsham, ME
NPI 1053938985 · NPPES record last updated Jun 26, 2020
Key facts
- NPI
- 1053938985
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- PA5473 (ME)
- Practice address
- 41 Main St
Topsham, ME 04086-1285 - Phone
- (207) 844-8287
- NPI assigned
- Jun 26, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA5473 | ME | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chonko Occupational Therapy, LLC | Current |
Accepting new patients |
Locations
41 Main St
Topsham, ME 04086
Phone (207) 515-0319
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PA5473 | ME | Yes |
Addresses
Primary practice location
41 Main St
Topsham, ME 04086-1285
Mailing address
41 Main St
Topsham, ME 04086-1285
Phone (207) 844-8287
Other providers in Topsham, ME
- Sheila A Balog
- Peter A Beauboeuf
- Lisa M Belisle
- Jessica Bell
- David Conner Benton
- Derek Stephen Bessey
- Birth Center at Northern Sun
- Edward Blanchard
- Frank A Bohmer
- Danielle F. Bowen
All providers in Topsham, ME · Physical Therapy Assistant in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.