Individual provider Active NPI

Dylan Berg

  • Physical Therapist
  • Attleboro, MA
National Provider Identifier
1346978723
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
26235 Issued in MA
Practice address
1395 Commerce Way Ste 112
Attleboro, MA 02703-4695
Phone
(508) 455-5740
Fax
(508) 455-5945
NPI assigned
Aug 12, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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 26235 MA Primary

Addresses

Primary practice location

1395 Commerce Way Ste 112
Attleboro, MA 02703-4695

Mailing address

4 Richmond SQ Ste 200
Providence, RI 02906-5117
Phone (401) 433-4172

Other practice location 1

225 Bedford St Side Entrance
E Bridgewater, MA 02333-1986
Phone (774) 224-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220831000601 MA Practitioner - Physical Therapist in Private Practice 3476937046 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Silver Fern Practice LLCGroup PAC ID 1658266515, 297 clinicians

Practice addresses (Care Compare)

115 Norwood Park S
Norwood, MA 02062-4633
Phone (781) 702-4630

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26235MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Physical Therapy Inc Physical Therapist CurrentSince Aug 10, 2022 Accepting new patients
Silver Fern Practice, LLC Physical Therapist CurrentSince Jun 1, 2025 Accepting new patients
Silver Fern Practice, LLC Physical Therapist CurrentSince Jun 1, 2025 Accepting new patients

Locations

1395 Commerce Way
Ste 112
Attleboro, MA 02703
Phone (508) 455-5740

501 John Mahar Hwy
Ste 100
Braintree, MA 02184
Phone (781) 214-1717

231 Chief Justice Cushing Hwy
Ste 203
Cohasset, MA 02025
Phone (781) 214-8585

225 Bedford St
Side Entrance
East Bridgewater, MA 02333
Phone (774) 224-2200

99 Longwater Cir
Ste 201
Norwell, MA 02061
Phone (781) 347-4686

115 Norwood Park S
Norwood, MA 02062
Phone (781) 349-5181

340 Oak St
Pembroke, MA 02359
Phone (781) 829-3500

4 Richmond Sq
Ste 200
Providence, RI 02906

Organizations & group practices 4

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": "1660262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1346978723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 RICHMOND SQ STE 200",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065117",
            "telephone_number": "401-433-4172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 COMMERCE WAY STE 112",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027034695",
            "telephone_number": "508-455-5740",
            "fax_number": "508-455-5945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Bedford St Side Entrance",
            "address_purpose": "LOCATION",
            "city": "E Bridgewater",
            "state": "MA",
            "postal_code": "023331986",
            "country_code": "US",
            "telephone_number": "774-224-2200",
            "fax_number": "774-961-3507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERG",
        "first_name": "DYLAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-12",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "26235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Attleboro, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.