Harold George Von Bergen, P.T.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

PT00000529 Issued in WA

Practice address

210 Ferry St
Sedro Woolley, WA 98284-1411

Phone

(360) 856-4216

Fax

(360) 856-4217

NPI assigned

Aug 10, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Cascade Physical Therapy & Sports Clinic

  • Physical Therapist
  • Sedro Woolley, WA
  • NPI 1306980537
  NPD (past) Authorized official
• Cascade Physical Therapy and Sports Clinic, Inc.

  • Physical Therapy Clinic/Center
  • Sedro Woolley, WA
  • NPI 1386826709
  NPD (past)

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1124020268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16431 PUTTER CIR",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982333802",
            "telephone_number": "360-757-0746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 FERRY ST",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982841411",
            "telephone_number": "360-856-4216",
            "fax_number": "360-856-4217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VON BERGEN",
        "first_name": "HAROLD",
        "middle_name": "GEORGE",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WA",
            "license": "PT00000529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE INDUSTRIAL",
            "identifier": "31210",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "70040-05",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa H Vanhaagen, MS, LAC, LMT
• Mary K. Verd, LMP
• Andrea M Viss
• Claudia Vizcaya
• Nadezhda I. Volsky, MD
• Amanda Noel Voorhees, MOTR/L
• Erin Vopalensky
• Walgreen Co
• Shaye Lynn Walker
• Joel Wallace, LPN

• Physical Medicine & Rehabilitation Physician in Sedro Woolley, WA
• Providers in Sedro Woolley, WA by specialty
• Physical Medicine & Rehabilitation Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.