Active NPI
Cassandra Ruth Berghammer, DPT
- Physical Therapist
- Amsterdam, NY
National Provider Identifier
1245616655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 039099
- Practice address
- 178 Clizbe Ave
Amsterdam, NY 12010-2935 - Phone
- (518) 842-1425
- Fax
- (518) 842-1706
- NPI assigned
- Aug 7, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 039099 | NY | Primary |
Addresses
Primary practice location
178 Clizbe Ave
Amsterdam, NY 12010-2935
Mailing address
42 Saratoga Rd
Scotia, NY 12302-3412
Phone (518) 399-6861
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438905600000",
"number": "1245616655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 SARATOGA RD",
"city": "SCOTIA",
"state": "NY",
"postal_code": "123023412",
"telephone_number": "518-399-6861",
"fax_number": "518-399-6864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "178 CLIZBE AVE",
"city": "AMSTERDAM",
"state": "NY",
"postal_code": "120102935",
"telephone_number": "518-842-1425",
"fax_number": "518-842-1706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGHAMMER",
"first_name": "CASSANDRA",
"middle_name": "RUTH",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-07",
"last_updated": "2015-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "039099",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Amsterdam, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.