Elysse Berdjis, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTL.0016513 Issued in CO

Practice address

3850 Mighty Oaks St
Castle Rock, CO 80104-7950

Phone

(949) 422-6152

NPI assigned

Nov 27, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Elysse Curreri Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1543276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564358400000",
    "number": "1144790700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 MIGHTY OAKS ST",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801047950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 MIGHTY OAKS ST",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801047950",
            "telephone_number": "949-422-6152"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2217 Sunset Blvd Suite 711",
            "address_purpose": "LOCATION",
            "city": "Rocklin",
            "state": "CA",
            "postal_code": "95765",
            "country_code": "US",
            "telephone_number": "916-435-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERDJIS",
        "first_name": "ELYSSE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-27",
        "last_updated": "2019-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0016513",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT295755",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELYSSE",
            "last_name": "CURRERI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ernest D Bennett, DDS
• Michele L Bennett, MA, CCC-SLP
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• Layne Benzley, DDS
• Rebecca Berezin
• Pamela Sue Berlin, M.A., CCC/SLP
• Rebecca Leigh Bernache
• Timothy Jason Bernacki, PT
• Kerri Maureen Berry, MPT

• Physical Therapist in Castle Rock, CO
• Providers in Castle Rock, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; 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.