Individual provider Active NPI

Steven Lawrence Berkey, DPT

  • Physical Therapist
  • Roseland, VA
National Provider Identifier
1275529406
Registry record updated Jan 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305203892 Issued in VA
Practice address
1543 Beech Grove Rd
Roseland, VA 22967-2213
Phone
(434) 361-2650
Fax
(434) 361-2511
NPI assigned
Sep 22, 2005
Last updated
Jan 20, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2016

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 2305203892 VA Primary

Addresses

Primary practice location

1543 Beech Grove Rd
Roseland, VA 22967-2213

Mailing address

504 Albemarle SQ
Charlottesville, VA 22901-7405
Phone (434) 817-7848

Other identifiers 2

IdentifierTypeStateIssuer
182496OtherVAANTHEM
K342-0017OtherVACAREFIRST BC/BS

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rockfish Chiropractic PLLC CurrentSince May 12, 2024 Accepting new patients
The Jackson Clinics LLC Physical Therapist Past Accepting new patients

Locations

1543 Beech Grove Rd
Roseland, VA 22967
Phone (434) 270-5912

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453248000000",
    "number": "1275529406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 ALBEMARLE SQ",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229017405",
            "telephone_number": "434-817-7848",
            "fax_number": "434-951-2194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1543 BEECH GROVE RD",
            "city": "ROSELAND",
            "state": "VA",
            "postal_code": "229672213",
            "telephone_number": "434-361-2650",
            "fax_number": "434-361-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERKEY",
        "first_name": "STEVEN",
        "middle_name": "LAWRENCE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2016-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305203892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "182496",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BC/BS",
            "identifier": "K342-0017",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseland, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.

Verify at the official NPI Registry.