Thomas Berick, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA009680 Issued in OH

Practice address

2340 Airport Dr
Columbus, OH 43219-2602

Phone

(614) 416-6132

NPI assigned

Jan 17, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547683200000",
    "number": "1457825978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 MCKINLEY LN",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430151153",
            "telephone_number": "419-632-3573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 AIRPORT DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432192602",
            "telephone_number": "614-416-6132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERICK",
        "first_name": "THOMAS",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-17",
        "last_updated": "2019-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "PTA009680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianne Bergstrom, LISW-S
• Reece E. Bergstrom, DO
• Terri Lynn Bergunzi
• Katherine Constance Ruth Bergus, MD
• Samuel Berhane, QBHS3
• Megan Danielle Berio
• Bruce Charles Berk, CDCA
• Dena Marie Berk, RN
• Joshua Berk, CDCA
• Lawrence R Berk

• Physical Therapy Assistant in Columbus, OH
• Providers in Columbus, OH by specialty
• Physical Therapy Assistant in Ohio

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