Individual provider Active NPI

Johanna Bergh, DPT

  • Physical Therapist
  • San Mateo, CA
National Provider Identifier
1649794447
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
293295 Issued in CA
Practice address
1100 Park PL Ste 100
San Mateo, CA 94403-7119
Phone
(415) 502-8950
NPI assigned
Aug 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 293295 CA Primary

Addresses

Primary practice location

1100 Park PL Ste 100
San Mateo, CA 94403-7119

Mailing address

20823 Stevens Creek Blvd Ste 200
Cupertino, CA 95014-2112
Phone (408) 252-6076

Other practice location 1

20823 Stevens Creek Blvd Ste 200
Cupertino, CA 95014-2112
Phone (408) 252-6076

Other names 1

  • Johanna Kerr Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Medical Group Business Services CurrentSince Aug 26, 2024 Accepting new patients
California Luna Care Physical Therapy PC Physical Therapist CurrentSince Mar 4, 2021 Accepting new patients
UCSF Medical Group Business Services CurrentSince Aug 26, 2024 Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients

Locations

1500 Owens St
Ste 400
San Francisco, CA 94158
Phone (415) 353-7598

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

1100 Park Pl
Ste 100
San Mateo, CA 94403
Phone (415) 353-3236

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1649794447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20823 STEVENS CREEK BLVD STE 200",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950142112",
            "telephone_number": "408-252-6076",
            "fax_number": "408-252-1159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 PARK PL STE 100",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944037119",
            "telephone_number": "415-502-8950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20823 Stevens Creek Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Cupertino",
            "state": "CA",
            "postal_code": "950142112",
            "country_code": "US",
            "telephone_number": "408-252-6076",
            "fax_number": "408-252-1159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERGH",
        "first_name": "JOHANNA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-02",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "293295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHANNA",
            "last_name": "KERR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.