Individual provider Active NPI

Michelle Lynn Bergamini-Bjornberg, M.S., PT

  • Orthopedic Physical Therapist
  • Lewisville, TX
National Provider Identifier
1477054229
Registry record updated Feb 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
1115541 Issued in TX
Practice address
724 W Main St Ste 180
Lewisville, TX 75067-3583
Phone
(972) 434-6024
NPI assigned
Feb 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 1115541 TX Primary

Addresses

Primary practice location

724 W Main St Ste 180
Lewisville, TX 75067-3583

Mailing address

1805 Honey Mesquite LN
Flower Mound, TX 75028-8222
Phone (972) 333-0344

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

NPI Registry JSON

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519689600000",
    "number": "1477054229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 HONEY MESQUITE LN",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750288222",
            "telephone_number": "972-333-0344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 W MAIN ST STE 180",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673583",
            "telephone_number": "972-434-6024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGAMINI-BJORNBERG",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "credential": "M.S., PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-27",
        "last_updated": "2018-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1115541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2018; 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.