Angela Berg

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1177670 Issued in TX

Practice address

9441 LBJ Fwy Ste 101
Dallas, TX 75243-4566

Phone

(214) 575-9820

NPI assigned

Apr 8, 2008

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207612800000",
    "number": "1164695540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9441 LBJ FWY STE 101",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752434566",
            "telephone_number": "214-575-9820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9441 LBJ FWY STE 101",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752434566",
            "telephone_number": "214-575-9820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "ANGELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1177670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryam S Berenberg, MS CCC-SLP
• Barbara L. Berendzen, LCDC
• Tanya Berent, LPC
• Lauren Ashley Bereuter, AGACNP-BC
• Alan G Berg, DO
• Susan Ruth Berg, OTR
• Marco Bergamini, DDS
• Patricia Celine Bergen, MD
• Berger & Berger, PHDS, PC
• Burton Berger, D.C.

• Physical Therapist in Dallas, TX
• Providers in Dallas, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.