Active NPI
Jared Berger
- Orthopedic Physical Therapist
- Avon, OH
National Provider Identifier
1356979025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT017875
- Practice address
- 33100 Cleveland Clinic Blvd
Physical Therapy Department
Avon, OH 44011 - Phone
- (440) 695-4000
- Fax
- (440) 695-4198
- NPI assigned
- Mar 30, 2020
- Last updated
- Mar 30, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT017875 | OH | Primary |
Addresses
Primary practice location
33100 Cleveland Clinic Blvd
Physical Therapy Department
Avon, OH 44011
Mailing address
33100 Cleveland Clinic Blvd
Physical Therapy Department
Avon, OH 44011
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT017875 | OH | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585526400000",
"number": "1356979025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33100 CLEVELAND CLINIC BLVD",
"address_2": "PHYSICAL THERAPY DEPARTMENT",
"city": "AVON",
"state": "OH",
"postal_code": "44011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33100 CLEVELAND CLINIC BLVD",
"address_2": "PHYSICAL THERAPY DEPARTMENT",
"city": "AVON",
"state": "OH",
"postal_code": "44011",
"telephone_number": "440-695-4000",
"fax_number": "440-695-4198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGER",
"first_name": "JARED",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-30",
"last_updated": "2020-03-30",
"certification_date": "2020-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "OH",
"license": "PT017875",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Avon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.