Courtney Johnson Berberich

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1233315 Issued in TX

Practice address

8081 Walnut Hill LN
Dallas, TX 75231-4313

Phone

(214) 239-0993

Fax

(214) 239-0998

NPI assigned

Oct 21, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Courtney Diane Johnson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1382313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1366870826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8081 WALNUT HILL LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314313",
            "telephone_number": "214-239-0993",
            "fax_number": "214-239-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8081 WALNUT HILL LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314313",
            "telephone_number": "214-239-0993",
            "fax_number": "214-239-0998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Gilbert Dr",
            "address_purpose": "LOCATION",
            "city": "Alabaster",
            "state": "AL",
            "postal_code": "350078867",
            "country_code": "US",
            "telephone_number": "205-259-3991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERBERICH",
        "first_name": "COURTNEY",
        "middle_name": "JOHNSON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-21",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1233315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "JOHNSON",
            "middle_name": "DIANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chris Bentsen, CRNA
• Octavia Bentum
• Benzel C Macmaster MD PA
• Maria Del Pilar Berastain
• Rafic Fouad Berbarie, M.D.
• Matthew Berchuck, M.D.
• John Gerard Bercier, DDS, MS
• Maryam S Berenberg, MS CCC-SLP
• Barbara L. Berendzen, LCDC
• Tanya Berent, LPC

• Physical Therapist in Dallas, TX
• Providers in Dallas, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.