Moneach R Berro, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501010919 Issued in MI

Practice address

113 S East Ave
Jackson, MI 49201-2411

Phone

(517) 990-6231

Fax

(517) 990-1283

NPI assigned

Sep 23, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Moneach R Surber 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": "1411430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411430400000",
    "number": "1184026049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 PAGE AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012418",
            "telephone_number": "517-783-6670",
            "fax_number": "517-783-5310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 S EAST AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012411",
            "telephone_number": "517-990-6231",
            "fax_number": "517-990-1283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRO",
        "first_name": "MONEACH",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-23",
        "last_updated": "2014-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501010919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONEACH",
            "last_name": "SURBER",
            "middle_name": "R",
            "credential": "MSPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kimberly Anne Berger, AUDIOLOGIST
• Brandon Berka
• Andrea Bernard, MSW
• Karla Bernath, MS, RD
• Sarah Lucille Bernstein, L.M.S.W.
• Julianne R Berry, RPH
• Kaitlyn Hope Marie Berry, BS
• Meredith Christine Berry
• Tony Besong, DO
• Brandon Bet, DO

• Physical Therapist in Jackson, MI
• Providers in Jackson, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; 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.