Paul Stephen Berardi, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

291222 Issued in CA

Practice address

3215 Clairemont Dr
Apartment 4
San Diego, CA 92117-6454

Phone

(585) 755-7736

NPI assigned

Jun 8, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489968000000",
    "number": "1063892602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3215 CLAIREMONT DR",
            "address_2": "APARTMENT 4",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921176454",
            "telephone_number": "585-755-7736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3215 CLAIREMONT DR",
            "address_2": "APARTMENT 4",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921176454",
            "telephone_number": "585-755-7736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERARDI",
        "first_name": "PAUL",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-08",
        "last_updated": "2017-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "291222",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "038455-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald T. Benz, M.D.
• Frances Doreen Ber, IMF
• Goytom Beraki, M.S., BCBA
• Abigail Catherine Berard
• Kevin Berardi, PA-C
• Victoria Berardi
• Heather Marie Berberet, PSY.D.
• Terri Marie Bercasio
• Aidan Berchek
• Robert Solomon Bercovitch, MD

• Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; 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.