Individual provider Active NPI

Cheryl Len Berry, PT

  • Physical Therapist
  • Cape Coral, FL
National Provider Identifier
1326683335
Registry record updated Nov 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT11205 Issued in FL
Practice address
58 Nicholas Pkwy W # 105
Cape Coral, FL 33991-2845
Phone
(239) 424-9904
Fax
(239) 317-0268
NPI assigned
Nov 13, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT11205 FL Primary

Addresses

Primary practice location

58 Nicholas Pkwy W # 105
Cape Coral, FL 33991-2845

Mailing address

58 Nicholas Pkwy W # 105
Cape Coral, FL 33991-2845
Phone (239) 424-9904

Other identifiers 1

IdentifierTypeStateIssuer
PT11205OtherFLMEDICAL LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL email Direct

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

LicenseStateTypeSpecialty
PT11205FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Johner Therapy Inc Single Specialty PastSince Nov 17, 2019 Accepting new patients
Johner Therapy Inc Single Specialty PastSince Nov 17, 2019 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1326683335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 NICHOLAS PKWY W # 105",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339912845",
            "telephone_number": "239-424-9904",
            "fax_number": "239-317-0268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 NICHOLAS PKWY W # 105",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339912845",
            "telephone_number": "239-424-9904",
            "fax_number": "239-317-0268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "CHERYL",
        "middle_name": "LEN",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-13",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT11205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "PT11205",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "email",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "useOtherDescription": "email",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "cape coral",
            "address_1": "58 Nicholas Pkwy W # 105",
            "city": "Cape Coral",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339912845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; 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.