Active NPI
Leslie C Bergmann, PT
- Orthopedic Physical Therapist
- Rockville, MD
National Provider Identifier
1265899603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 18197
- Practice address
- 133 Rollins Ave
Unit 4a
Rockville, MD 20852-4040 - Phone
- (301) 613-9252
- NPI assigned
- Jan 15, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 18197 | MD | Primary |
Addresses
Primary practice location
133 Rollins Ave
Unit 4a
Rockville, MD 20852-4040
Mailing address
PO Box 2102
Rockville, MD 20847-2102
Phone (301) 613-9252
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18197 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452816000000",
"number": "1265899603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2102",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208472102",
"telephone_number": "301-613-9252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 ROLLINS AVE",
"address_2": "UNIT 4A",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208524040",
"telephone_number": "301-613-9252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGMANN",
"first_name": "LESLIE",
"middle_name": "C",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-15",
"last_updated": "2016-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "MD",
"license": "18197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.