Joy Danielle Bergstedt, DPT

Individual provider Active NPI Physical Therapist · Mercer Island, WA

NPI 1104016591 · NPPES record last updated Mar 11, 2008

Key facts

NPI
1104016591
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT00010598 (WA)
Practice address
7525 SE 24TH St
Suite 510
Mercer Island, WA 98040-2336
Phone
(206) 230-8320
Fax
(206) 230-8315
NPI assigned
Jul 31, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Olympic Physical Therapy, Inc. Physical Therapist Past Accepting new patients
Olympic Physical Therapy of Bellevue Inc. Physical Therapist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT00010598 WA Yes

Addresses

Primary practice location

7525 SE 24TH St
Suite 510
Mercer Island, WA 98040-2336

Mailing address

1188 106TH Ave NE
Suite 100
Bellevue, WA 98004-8614
Phone (425) 454-4864

Other names

  • Danielle Bergstedt Professional name

Other providers in Mercer Island, WA

All providers in Mercer Island, WA · Physical Therapist in Washington

Sources for this page

Verify at the official NPI Registry.