Jeffrey R Berner, PT
Individual provider Active NPI Physical Therapist · Edgewater, FL
NPI 1275643397 · NPPES record last updated Jan 10, 2017
Key facts
- NPI
- 1275643397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT13137 (FL)
- Practice address
- 2568 S Ridgewood Avenue
Suite 1
Edgewater, FL 32141-7535 - Phone
- (386) 423-0100
- Fax
- (386) 428-8631
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Barry University School of Podiatric Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Professional Physical Therapy and Associates LTD Co
Practice addresses (Care Compare)
1316 S Ridgewood Ave
Suite 1
Edgewater, FL 32132-2718
Phone (386) 423-0100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080311000261 | FL | Practitioner - Physical Therapist in Private Practice | 5395641047 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles (2 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Physical Therapy and Associates LTD Co | Physical Therapist | Current |
Accepting new patients |
| Thomas Center for Physical Therapy | Physical Therapist | Past |
Accepting new patients |
Locations
1316 S Ridgewood Ave
Ste 1
Edgewater, FL 32132
Phone (386) 423-0100
2568 S Ridgewood Ave
Ste 1
Edgewater, FL 32141
Phone (386) 423-0100
1316 S Ridgewood Ave
Edgewater, FL 32132
Phone (386) 423-0100
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT13137 | FL | Yes |
Addresses
Primary practice location
2568 S Ridgewood Avenue
Suite 1
Edgewater, FL 32141-7535
Mailing address
1316 S Ridgewood Ave
Suite 1
Edgewater, FL 32132-2718
Phone (386) 423-0100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 660020510 | Other | TRAVELERS RAILROAD MEDICA | |
| Y9686 | Other | FL | BLUE CROSS |
| 887280500 | Medicaid | FL |
Other providers in Edgewater, FL
- Michael Dean Baldwin
- Grant Bradford Barker
- Jodie Barko-Abshire
- Beachside Speech Club
- Samantha Bergoine
- Leslie R Betts
- Bhi of Central Florida Corporation
- Noah Benjamin Bigman
- Regina A. Blanke
- Todd Vincent Boicourt
All providers in Edgewater, FL · Physical Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.