Active NPI
Pappus Pelvic Health and Wellness, LLC.
- Physical Therapist
- New Bern, NC
National Provider Identifier
1629816509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- PAPPUS PELVIC HEALTH AND WELLNESS, LLC.
- Practice address
- 2111 Neuse Blvd Ste D
New Bern, NC 28560-4318 - Phone
- (252) 631-2461
- Fax
- (252) 999-6905
- NPI assigned
- Jul 16, 2024
- Last updated
- Jul 25, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sheri Ireland-Berk, PT
- Title
- Owner
- Phone
- (630) 234-8265
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary | ||
| Physical Therapy Clinic/Center | 261QP2000X |
Addresses
Primary practice location
2111 Neuse Blvd Ste D
New Bern, NC 28560-4318
Mailing address
1013 Bracken Fern Dr
New Bern, NC 28560-7150
Phone (252) 631-2461
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2111 Neuse Blvd
Ste D
New Bern, NC 28560
Phone (252) 497-8350
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721088000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721865600000",
"number": "1629816509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1013 BRACKEN FERN DR",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285607150",
"telephone_number": "252-631-2461",
"fax_number": "252-999-6905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2111 NEUSE BLVD STE D",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285604318",
"telephone_number": "252-631-2461",
"fax_number": "252-999-6905"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAPPUS PELVIC HEALTH AND WELLNESS, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-16",
"last_updated": "2024-07-25",
"certification_date": "2024-07-25",
"status": "A",
"authorized_official_last_name": "IRELAND-BERK",
"authorized_official_first_name": "SHERI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "630-234-8265",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Bern, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.