Individual provider Active NPI

Austin Bergana

  • Physical Therapist
  • Bedford, OH
National Provider Identifier
1063006401
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
019113 Issued in OH
Practice address
19455 Rockside Rd
Bedford, OH 44146-2000
Phone
(440) 439-8666
NPI assigned
Feb 25, 2021
Last updated
Feb 25, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 019113 OH Primary

Addresses

Primary practice location

19455 Rockside Rd
Bedford, OH 44146-2000

Mailing address

23220 Chagrin Blvd Apt 156
Beachwood, OH 44122-5423
Phone (330) 979-3669

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210303002071 OH Practitioner - Physical Therapist in Private Practice 1951717628 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aegis Group Practice LLC Physical Therapist Current Accepting new patients
Empowerme Rehabilitation Illinois, LLC Physical Therapist CurrentSince Jan 31, 2025 Accepting new patients
Aegis Group Practice LLC Physical Therapist CurrentSince Dec 6, 2021 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Feb 19, 2021 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Feb 19, 2021 Accepting new patients
Aegis Group Practice LLC Physical Therapist CurrentSince Dec 6, 2021 Accepting new patients
Empowerme Rehabilitation Illinois, LLC Physical Therapist CurrentSince Jan 31, 2025 Accepting new patients

Locations

4933 Old Greenwood Rd
Fort Smith, AR 72903

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

501 Chardon Windsor Rd
Chardon, OH 44024
Phone (440) 286-2277

Organizations & group practices 7

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": "1614211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1063006401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23220 CHAGRIN BLVD APT 156",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225423",
            "telephone_number": "330-979-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19455 ROCKSIDE RD",
            "city": "BEDFORD",
            "state": "OH",
            "postal_code": "441462000",
            "telephone_number": "440-439-8666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGANA",
        "first_name": "AUSTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-25",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "019113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; 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.

Verify at the official NPI Registry.