Annette Louise Bergeron, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

8219 Issued in MA

Practice address

6541 Haviland Mill Rd
Clarksville, MD 21029-1314

Phone

(301) 854-3711

NPI assigned

Feb 7, 2007

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1609916014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 GEORGIA AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "203070003",
            "telephone_number": "202-782-6371",
            "fax_number": "202-782-3764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6541 HAVILAND MILL RD",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210291314",
            "telephone_number": "301-854-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGERON",
        "first_name": "ANNETTE",
        "middle_name": "LOUISE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "MA",
            "license": "8219",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MA",
            "license": "8219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loretta Elizabeth Baum, PSY.D
• Harry Herbert Benavent, D.D.S.
• Vanessa L Benavent, DDS, MSD
• Diana F Bennett
• Yana Benyumov, LCPC
• Nicole Bickhart, OTRL/CHT
• Blue Chesapeake Medical
• Ashley Boehm, PSYCH ASSOCIATE
• Brighter Hope Wellness Center
• Brighter Hope Wellness Center

• Orthopedic Physical Therapist in Clarksville, MD
• Providers in Clarksville, MD by specialty
• Orthopedic Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.