Annette Louise Bergeron, PT
Individual provider Active NPI Orthopedic Physical Therapist · Clarksville, MD
NPI 1609916014 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1609916014
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopedic Physical Therapist 2251X0800X
- License
- 8219 (MA)
- Practice address
- 6541 Haviland Mill Rd
Clarksville, MD 21029-1314 - Phone
- (301) 854-3711
- NPI assigned
- Feb 7, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 8219 | MA | MD | Contractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 8219 | MA | |
| Orthopedic Physical Therapist | 2251X0800X | 8219 | MA | Yes |
Addresses
Primary practice location
6541 Haviland Mill Rd
Clarksville, MD 21029-1314
Mailing address
6900 Georgia Ave NW
Washington, DC 20307-0003
Phone (202) 782-6371
Other providers in Clarksville, MD
- Loretta Elizabeth Baum
- Harry Herbert Benavent
- Vanessa L Benavent
- Diana F Bennett
- Yana Benyumov
- Nicole Bickhart
- Blue Chesapeake Medical
- Ashley Boehm
- Brighter Hope Wellness Center
- Brighter Hope Wellness Center
All providers in Clarksville, MD · Orthopedic Physical Therapist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. 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.