Individual provider Active NPI

Carlos Jose Berio, PT, DPT, MS, CSCS

  • Physical Therapist
  • Alexandria, VA
National Provider Identifier
1467787291
Registry record updated Oct 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305206172 Issued in VA
Practice address
2331 Mill Rd
Suite 100
Alexandria, VA 22314-4677
Phone
(703) 224-8903
NPI assigned
Oct 13, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305206172 VA Primary

Addresses

Primary practice location

2331 Mill Rd
Suite 100
Alexandria, VA 22314-4677

Mailing address

2331 Mill Rd
Suite 100
Alexandria, VA 22314-4677
Phone (703) 224-8903

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2305206172VAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1255392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255392000000",
    "number": "1467787291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2331 MILL RD",
            "address_2": "SUITE 100",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223144677",
            "telephone_number": "703-224-8903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2331 MILL RD",
            "address_2": "SUITE 100",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223144677",
            "telephone_number": "703-224-8903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERIO",
        "first_name": "CARLOS",
        "middle_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, MS, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-13",
        "last_updated": "2009-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305206172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2009; 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.