Matthew Joseph Bergam, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00007864 Issued in WA

Practice address

1224 E Westview CT
Spokane, WA 99218-3813

Phone

(509) 467-5626

NPI assigned

Apr 2, 2009

Last updated

Apr 3, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1238630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238716800000",
    "number": "1336381524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12920 E 29TH AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992160296",
            "telephone_number": "509-927-2875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 E WESTVIEW CT",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992183813",
            "telephone_number": "509-467-5626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGAM",
        "first_name": "MATTHEW",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-02",
        "last_updated": "2009-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00007864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Berg
• Laura Ann Berg, MSW
• Lauren Alessandra Berg, RN
• Michael P Berg, MD
• Robert Jack Berg
• Anne-Marie C Bergeleen, ARNP
• Sarah Bergen, PMHNP-BD
• Matthew Berger, M.D.
• Nicholas Gerard Berger, M.D.
• Sylvia Berger, MA, LPC, LAC, LCMHA

• Physical Therapist in Spokane, WA
• Providers in Spokane, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2009; 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.