Stephanie Krok Berry, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

001143 Issued in CT

Practice address

103 S Main St
Newtown, CT 06470-2372

Phone

(203) 270-0330

Fax

(203) 270-0330

NPI assigned

Dec 27, 2005

Last updated

Nov 21, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Paul R & Stephanie K Berry Dba Physical Therapy Consultants

  • Physical Therapy Clinic/Center
  • Newtown, CT
  • NPI 1851449052
  Authorized official Same address or phone
• Paul R Berry

  • Physical Therapist
  • Newtown, CT
  • NPI 1154742716
  Authorized official Same address or phone

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195603200000",
    "number": "1063499648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 S MAIN ST",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064702372",
            "telephone_number": "203-270-0330",
            "fax_number": "203-270-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 S MAIN ST",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064702372",
            "telephone_number": "203-270-0330",
            "fax_number": "203-270-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "STEPHANIE",
        "middle_name": "KROK",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-27",
        "last_updated": "2007-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "001143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS & BLUE",
            "identifier": "080001143CT03",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "042751",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "221657",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS BLUE SH",
            "identifier": "Q30Y4",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Benner, LPC, LADC
• Nellie Bentz, LMT
• Harold L Berkheimer, MD
• Kaitlyn Marie Bernz, PT, DPT
• Paul Robert Berry, P.T.
• Urmi Abhay Bhatt, PT
• Christine Bihday, APRN
• Nyle Bradley Blanck, D.M.D., M.D.S.
• Nicholas Boccarossa, DMD
• Tod Jeffrey Bogdanoff, PSY.D.

• Physical Therapist in Newtown, CT
• Providers in Newtown, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; 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.