Active NPI
Sonia Bergler, LPTA
- Physical Therapy Assistant
- Portland, OR
National Provider Identifier
1427729722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 07855
- Practice address
- 2545 SW Terwilliger Blvd
Portland, OR 97201-6302 - Phone
- (971) 364-0611
- Fax
- (971) 364-0610
- NPI assigned
- Sep 26, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 07855 | OR | Primary |
Addresses
Primary practice location
2545 SW Terwilliger Blvd
Portland, OR 97201-6302
Mailing address
25195 SW Parkway Ave Ste 205
Wilsonville, OR 97070-9689
Phone (971) 364-0611
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 |
|---|---|---|---|
| 07855 | OR | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632700800000",
"number": "1427729722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25195 SW PARKWAY AVE STE 205",
"city": "WILSONVILLE",
"state": "OR",
"postal_code": "970709689",
"telephone_number": "971-364-0611",
"fax_number": "971-364-0610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2545 SW TERWILLIGER BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972016302",
"telephone_number": "971-364-0611",
"fax_number": "971-364-0610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGLER",
"first_name": "SONIA",
"name_prefix": "Mrs.",
"credential": "LPTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-26",
"last_updated": "2021-09-27",
"certification_date": "2021-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OR",
"license": "07855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.