Active NPI
Ronald James Berry, P.T.
- Physical Therapist
- Santa Monica, CA
National Provider Identifier
1629295753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 17150
- Practice address
- 427 Wilshire Blvd
Santa Monica, CA 90401-1409 - Phone
- (310) 656-8600
- Fax
- (310) 656-8606
- NPI assigned
- Apr 19, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 17150 | CA | Primary |
Addresses
Primary practice location
427 Wilshire Blvd
Santa Monica, CA 90401-1409
Mailing address
2534 Amherst Ave
Los Angeles, CA 90064-2712
Phone (310) 774-7625
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181120002561 | CA | Practitioner - Physical Therapist in Private Practice | 0345594750 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1990
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Forster Physical Therapy Inc
Practice addresses (Care Compare)
427 Wilshire Blvd
Santa Monica, CA 90401-1409
Phone (310) 656-8604
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forster Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
427 Wilshire Blvd
Santa Monica, CA 90401
Phone (310) 656-8600
Organizations & group practices 1
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.
-
- Physical Therapist
- Santa Monica, CA
- NPI 1679790646
CA, Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629295753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2534 AMHERST AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900642712",
"telephone_number": "310-774-7625",
"fax_number": "310-656-8606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "427 WILSHIRE BLVD",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904011409",
"telephone_number": "310-656-8600",
"fax_number": "310-656-8606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRY",
"first_name": "RONALD",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "17150",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.