Lance Berry, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

1220537 Issued in TX

Practice address

3621 E Whitestone Blvd # 400
Cedar Park, TX 78613-6998

Phone

(512) 925-8857

NPI assigned

Jul 23, 2012

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

Medicare fee-for-service enrollment

Enrolled in NH

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Vermont College of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Envision Rehab and Performance LLC

  • Orthopedic Physical Therapist
  • Littleton, NH
  • NPI 1225688567
  Medicare reassignment Authorized official
• On the Run Physical Therapy

  • Physical Therapy Clinic/Center
  • Cedar Park, TX
  • NPI 1780392415

  Physical Therapist

  NPD

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

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576454400000",
    "number": "1144575424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30126 DIAMOND DOVE TRL",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786283724",
            "telephone_number": "512-925-8857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3621 E WHITESTONE BLVD # 400",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786136998",
            "telephone_number": "512-925-8857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "LANCE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-23",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1220537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colby Michelle Bennett
• Sarah Malee Bentley, DPT
• Julia Ann Bergstrom, SLP
• Devaki Lindsey Berkson, MA, CNS, DACBN
• Pamela A Bermender, LMFT
• Bert C. Vasut, DDS, PLLC
• Joshua C Bevers, ABOC221421
• Monica Bhula, OD
• Bio-Medical Applications of Texas, Inc.
• Kristin Birch, COTA

• Orthopedic Physical Therapist in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Orthopedic Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; 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.