NPIMap

Organization Active NPI

Paul R Berry

  • Physical Therapist
  • Newtown, CT
National Provider Identifier
1154742716
Registry record updated Dec 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
001915 Issued in 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
Last updated
Dec 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2013

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

Authorized official

Name
Stephanie K BerryNPI 1063499648
Title
Manager
Phone
(203) 266-0424

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 001915 CT Primary

Addresses

Primary practice location

103 S Main St
Newtown, CT 06470-2372

Mailing address

103 S Main St
Newtown, CT 06470-2372
Phone (203) 270-0330

Other names 1

  • Physical Therapy Consultants Other name

National Provider Directory

National Provider Directory
Tax ID family
Paul R Berry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

103 S Main St
Newtown, CT 06470
Phone (203) 270-0330

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "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

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2013; 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.