Valerie Louise Berg, CERTIFIED ROLFER

Individual provider Active NPI Rehabilitation Practitioner · Albuquerque, NM

NPI 1376768341 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1376768341
Entity type
Individual (NPI type 1)
Primary specialty
Rehabilitation Practitioner 225400000X
Practice address
3751 Manchester Dr NW
Albuquerque, NM 87107-3090
Phone
(505) 341-1167
NPI assigned
Apr 16, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X Yes

Addresses

Primary practice location

3751 Manchester Dr NW
Albuquerque, NM 87107-3090

Mailing address

3751 Manchester Dr NW
Albuquerque, NM 87107-3090
Phone (505) 341-1167

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376768341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3751 MANCHESTER DR NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871073090",
            "telephone_number": "505-341-1167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3751 MANCHESTER DR NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871073090",
            "telephone_number": "505-341-1167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "VALERIE",
        "middle_name": "LOUISE",
        "credential": "CERTIFIED ROLFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

All providers in Albuquerque, NM · Rehabilitation Practitioner in New Mexico

Sources for this page

Verify at the official NPI Registry.