Haley Pauline Berman, PT, DPT, CSRS
Individual provider Active NPI Physical Therapist · Gordon, KY
NPI 1558067280 · NPPES record last updated Jun 27, 2026
Key facts
- NPI
- 1558067280
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 008740 (KY)
- Practice address
- 90 Clear Water Rd
Gordon, KY 41819-9009 - Phone
- (606) 303-4848
- NPI assigned
- Feb 3, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008740 | KY | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 008740 | KY | Yes |
Addresses
Primary practice location
90 Clear Water Rd
Gordon, KY 41819-9009
Mailing address
90 Clear Water Rd
Gordon, KY 41819-9009
Phone (606) 303-4848
Other providers in Gordon, KY
All providers in Gordon, KY · Physical Therapist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2026. 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.