Jared Berger
Individual provider Active NPI Orthopedic Physical Therapist · Avon, OH
NPI 1356979025 · NPPES record last updated Mar 30, 2020
Key facts
- NPI
- 1356979025
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopedic Physical Therapist 2251X0800X
- License
- PT017875 (OH)
- 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
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT017875 | OH | MD | Orthopedic Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT017875 | OH | Yes |
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
Other providers in Avon, OH
- Jenna Beal
- Christopher Bej
- Sara Marie Beldon
- Stephen Paul Benesh
- Ronald Max Benton
- George David Berki II
- Traci - Bernabale
- Todd Bernard
- Heather Marie Betsa
- Michael G Bierly
All providers in Avon, OH · Orthopedic Physical Therapist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 30, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.