Paul Robert Berry, P.T.
Individual provider Active NPI Physical Therapist · Newtown, CT
NPI 1528045176 · NPPES record last updated Dec 10, 2009
Key facts
- NPI
- 1528045176
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 001915 (CT)
- Practice address
- 103 S Main St
Newtown, CT 06470-2372 - Phone
- (203) 270-0330
- Fax
- (203) 270-0330
- NPI assigned
- Dec 26, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1915 | CT | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paul R & Stephanie K Berry Dba Physical Therapy Consultants | Physical Therapist | Past |
Accepting new patients |
| Paul R Berry | Physical Therapist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 001915 | CT | Yes |
Addresses
Primary practice location
103 S Main St
Newtown, CT 06470-2372
Mailing address
103 S Main St
Newtown, CT 06470-2372
Phone (203) 270-0330
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZS968 | Other | CT | OXFORD HEALTH PLANS |
| 0Q774710 | Other | EMPIRE BLUE CROSS BLUE SH | |
| 104823000 | Other | DOL FECA | |
| 0019501 | Other | CT | AETNA ORTHONET |
| 041801 | Other | CT | HEALTHNET |
| 080001915CT02 | Other | CT | ANTHEM BLUE CROSS &BLUE S |
| 19501 | Other | CIGNA ORTHONET | |
| 0565313 | Other | AETNA | |
| 207806 | Other | WELLCARE |
Other providers in Newtown, CT
- Laura Renee Becker
- Joseph Benner
- Nellie Bentz
- Harold L Berkheimer
- Kaitlyn Marie Bernz
- Stephanie Krok Berry
- Urmi Abhay Bhatt
- Christine Bihday
- Nyle Bradley Blanck
- Nicholas Boccarossa
All providers in Newtown, CT · Physical Therapist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.