Patti J Berg-Poppe, MA, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1169 Issued in SD

Practice address

2501 W 26TH St
Sioux Falls, SD 57105-2446

Phone

(605) 782-2320

NPI assigned

Mar 29, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Children's Care Hospital and School

  • Rehabilitation Clinic/Center
  • Rapid City, SD
  • NPI 1174722169
  NPD (past)

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435622400000",
    "number": "1508985375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 S GLENDALE AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571050312",
            "telephone_number": "605-338-2156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 W 26TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571052446",
            "telephone_number": "605-782-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG-POPPE",
        "first_name": "PATTI",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "MA, MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2015-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "1169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5833940",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Palmer Berdahl, M.D.
• Mark C Berdahl, DDS
• Jason Bereded
• Danica Mae Berens, RN
• Hannah Berens
• Aaron David Berg, M.D.
• Andrea Berg
• Chelsea Berg, PHARMD
• Deane Ruth Berg, P.A.-C
• Jessica Berg, DO

• Physical Therapist in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Physical Therapist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2015; 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.