Individual provider Active NPI

Raymond A Berardinelli, PHYSICAL THERAPIST

  • Physical Therapist
  • Cresson, PA
National Provider Identifier
1093729907
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT015899 Issued in PA
Practice address
601 2ND St
Cresson, PA 16630-1277
Phone
(814) 934-4756
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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 PT015899 PA Primary

Addresses

Primary practice location

601 2ND St
Cresson, PA 16630-1277

Mailing address

601 2ND St
Cresson, PA 16630-1277
Phone (814) 934-4756

Other identifiers 1

IdentifierTypeStateIssuer
0019507680028MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041117000718 PA Practitioner - Physical Therapist in Private Practice 3971567223 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Gallitzin, PA 16641
Phone (814) 934-4756

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT015899PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
R2 Wellness and Recovery Solutions Inc Physical Therapist CurrentSince Sep 24, 2025 Accepting new patients
Mile-Level Physical Therapy Physical Therapist PastSince Nov 18, 2004 Accepting new patients
Benchmark Therapy, Inc Past Accepting new patients
Benchmark Therapy, Inc. Past Accepting new patients

Locations

601 2nd St
Cresson, PA 16630
Phone (814) 552-1300

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1093729907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 2ND ST",
            "city": "CRESSON",
            "state": "PA",
            "postal_code": "166301277",
            "telephone_number": "814-934-4756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 2ND ST",
            "city": "CRESSON",
            "state": "PA",
            "postal_code": "166301277",
            "telephone_number": "814-934-4756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERARDINELLI",
        "first_name": "RAYMOND",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT015899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019507680028",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cresson, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.