Jessica Berggren
Individual provider Active NPI Physical Therapy Assistant · Milford, MI
NPI 1245036144 · NPPES record last updated Feb 21, 2025
Key facts
- NPI
- 1245036144
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 5502008703 (MI)
- Practice address
- 555 Highland Ave
Milford, MI 48381-1517 - Phone
- (248) 685-1460
- NPI assigned
- Feb 21, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5502008703 | MI | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 5502008703 | MI | Yes |
Addresses
Primary practice location
555 Highland Ave
Milford, MI 48381-1517
Mailing address
14019 Placid Dr
Holly, MI 48442-8308
Phone (810) 265-0857
Other providers in Milford, MI
- Lilyann Baughn
- Leonard Marc Beigler
- Steven D Belen
- Jacob Michael Bellamy
- Matthew Berg
- Edward Isaac Betel
- Beth M. Berman Psy.D. PC
- Beyer and Associates Psychological Services
- Melissa Tiffany Bishop
- Kara Blatchford
All providers in Milford, MI · Physical Therapy Assistant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.