Victoria Lynne Bernero, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P14331 Issued in NC

Practice address

4503 Main St
Shallotte, NC 28470-4447

Phone

(910) 721-3157

NPI assigned

May 19, 2021

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

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Tennessee, HSC, College of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

At Home Therapy Franchising LLC 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• At Home Therapy Franchising, LLC

  • Physical Therapist
  • Wrightsville Beach, NC
  • NPI 1922639939

  NC, Physical Therapist

  Medicare reassignment Care Compare group NPD
• At Home Therapy of Wilmington, Inc.

  • Occupational Therapist
  • Wrightsville Beach, NC
  • NPI 1174620371

  Physical Therapist

  NPD
• Coastal Speech and Reading Center

  • Speech-Language Pathologist
  • Lumberton, NC
  • NPI 1649626466
  NPD (past)
• Foundation Health Systems LLC

  • Physical Therapy Clinic/Center
  • Shallotte, NC
  • NPI 1013466564

  Physical Therapist

  NPD (past)
• Foundation Health Systems LLC

  • Physical Therapy Clinic/Center
  • Winston Salem, NC
  • NPI 1205894029

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1457925737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601791",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4503 MAIN ST",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284704447",
            "telephone_number": "910-721-3157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNERO",
        "first_name": "VICTORIA",
        "middle_name": "LYNNE",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-19",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P14331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles F Bay, PA
• Holly Beachum, RN
• Jenna Beck
• Benchmark Physical Therapy of NC, LLC
• Emily Benoit
• Nevaeh Bethea
• Blake Family Medicine PLLC
• John A Blake, PA-C
• Blue Ridge Health and Spine, PLLC
• Morgan Frances Bobb, DPT, PT

• All providers in Shallotte, NC
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.