Paul R Berry

Key facts

NPI

1154742716

Entity type

Organization (NPI type 2)

Primary specialty

Physical Therapist 225100000X

License

001915 (CT)

Legal business name

PAUL R BERRY

Practice address

103 S Main St
Newtown, CT 06470-2372

Phone

(203) 270-0330

Fax

(203) 270-0330

NPI assigned

Dec 30, 2013

Organization subpart

No

Authorized official

Name

Stephanie K Berry

Title

Manager

Phone

(203) 266-0424

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

• Paul R & Stephanie K Berry Dba Physical Therapy Consultants Physical Therapy Clinic/Center · Newtown, CT · NPI 1851449052
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul Robert Berry, P.T. Physical Therapist · Newtown, CT · NPI 1528045176
  NPD (past) PHYSICAL THERAPIST

National Provider Directory

Tax ID family

Paul R Berry (2 organizations share this tax ID)

Specialties & licenses

Addresses

Other names

• Physical Therapy Consultants Other name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 30, 2013.

{
    "created_epoch": "1388361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388361600000",
    "number": "1154742716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 S MAIN ST",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064702372",
            "telephone_number": "203-270-0330",
            "fax_number": "203-270-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 S MAIN ST",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064702372",
            "telephone_number": "203-270-0330",
            "fax_number": "203-270-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL R BERRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-30",
        "last_updated": "2013-12-30",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "203-266-0424"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "001915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physical Therapy Consultants",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Newtown, CT

• Flora Parvin, MD
• Jeannie Virginia Pasacreta, APRN, PHD
• Archita A Patel, PA-C
• Pathways Counseling, LLC
• Paul R & Stephanie K Berry Dba Physical Therapy Consultants
• Jason Ramos Pereira
• Lisa Marie Perry, LPC
• Peter Licht M.D. & Jennifer Holloway M.D LLC.
• Phoenix Rising Wellness LLC
• Mark Pirner, MD

All providers in Newtown, CT · Physical Therapist in Connecticut