Active NPI
Andrea Berg, P.T.
- Physical Therapist
- Denver, CO
National Provider Identifier
1144335837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6167
- Practice address
- 400 S Colorado Blvd
Ste 640
Denver, CO 80246-1253 - Phone
- (303) 320-4450
- Fax
- (303) 320-6668
- NPI assigned
- Aug 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6167 | CO | Primary |
Addresses
Primary practice location
400 S Colorado Blvd
Ste 640
Denver, CO 80246-1253
Mailing address
2353 S Tabor Way
Lakewood, CO 80228-4757
Phone (303) 320-4450
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6167 | CO | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1144335837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2353 S TABOR WAY",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802284757",
"telephone_number": "303-320-4450",
"fax_number": "303-320-6668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 S COLORADO BLVD",
"address_2": "STE 640",
"city": "DENVER",
"state": "CO",
"postal_code": "802461253",
"telephone_number": "303-320-4450",
"fax_number": "303-320-6668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERG",
"first_name": "ANDREA",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "6167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.