Individual provider Active NPI

Kristen J Berner, PT

  • Physical Therapist
  • Gloversville, NY
National Provider Identifier
1225677339
Registry record updated Aug 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
013135 Issued in NY
Practice address
41 Arterial PLZ
Gloversville, NY 12078-2512
Phone
(518) 775-9554
Fax
(518) 773-7747
NPI assigned
Jan 6, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 013135 NY Primary

Addresses

Primary practice location

41 Arterial PLZ
Gloversville, NY 12078-2512

Mailing address

41 Arterial PLZ
Gloversville, NY 12078-2512
Phone (518) 775-9554

Electronic endpoints 6

TypeEndpointUseAffiliation
Direct Messaging Address kberner@chchomecare.org Direct
Direct Messaging Address kberner@chchomecare.org Direct
Direct Messaging Address kberner@chchomecare.org Direct
Other URL chchomecare.org Direct
Other URL chchomecare.org Direct
Direct Messaging Address kberner@chchomecare.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200916001333 NY Practitioner - Physical Therapist in Private Practice 8123445723 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Balanced Health Physical TherapyGroup PAC ID 1456672591, 9 clinicians

Practice addresses (Care Compare)

41 Arterial PLZ
Gloversville, NY 12078-2512
Phone (518) 775-9554

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced Health Physical Therapy Physical Therapist CurrentSince Aug 10, 2020 Accepting new patients

Locations

41 Arterial Plz
Gloversville, NY 12078
Phone (518) 775-9554

41 Arterial Plz
Ste 15B
Gloversville, NY 12078
Phone (518) 773-2300

309 W Montgomery St
Ste 16A
Johnstown, NY 12095
Phone (518) 619-8991

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1578268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597017600000",
    "number": "1225677339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 ARTERIAL PLZ",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120782512",
            "telephone_number": "518-775-9554",
            "fax_number": "518-773-7747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 ARTERIAL PLZ",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120782512",
            "telephone_number": "518-775-9554",
            "fax_number": "518-773-7747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNER",
        "first_name": "KRISTEN",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-06",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "013135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kberner@chchomecare.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2-8 W Main St",
            "city": "Johnstown",
            "state": "NY",
            "country_code": "US",
            "postal_code": "120952308",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kberner@chchomecare.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2-8 W Main St",
            "city": "Johnstown",
            "state": "NY",
            "country_code": "US",
            "postal_code": "120952308",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kberner@chchomecare.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2-8 W Main St",
            "city": "Johnstown",
            "state": "NY",
            "country_code": "US",
            "postal_code": "120952308",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "chchomecare.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "work email",
            "address_1": "2-8 W Main St",
            "city": "Johnstown",
            "state": "NY",
            "country_code": "US",
            "postal_code": "120952308",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "chchomecare.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "work email",
            "address_1": "2-8 W Main St",
            "city": "Johnstown",
            "state": "NY",
            "country_code": "US",
            "postal_code": "120952308",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kberner@chchomecare.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "work email",
            "address_1": "2-8 W Main St",
            "city": "Johnstown",
            "state": "NY",
            "country_code": "US",
            "postal_code": "120952308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gloversville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.