Active NPI
Sheri Lynn Irelandberk, PT
- Physical Therapist
- New Bern, NC
National Provider Identifier
1669512992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P14814
- Practice address
- 2111 Neuse Blvd Ste D
New Bern, NC 28560-4318 - Phone
- (252) 497-8350
- Fax
- (252) 999-6905
- NPI assigned
- Feb 7, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | P14814 | NC | Primary |
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) 497-8350
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09932114 | Other | IL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2111 Neuse Blvd
Suite D
New Bern, NC 28560-4318
Phone (252) 631-2461
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P14814 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pappus Pelvic Health and Wellness, LLC. | Multi-Specialty | Current | Accepting new patients |
| Pediactivity LLC | Multi-Specialty | Current | Accepting new patients |
Locations
2111 Neuse Blvd
Ste D
New Bern, NC 28560
Phone (252) 497-8350
Organizations & group practices 2
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
- New Bern, NC
- NPI 1629816509
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708992000000",
"number": "1669512992",
"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": "252-497-8350"
},
{
"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": "252-497-8350",
"fax_number": "252-999-6905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRELANDBERK",
"first_name": "SHERI",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-07",
"last_updated": "2024-02-27",
"certification_date": "2024-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NC",
"license": "P14814",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "09932114",
"state": "IL"
}
],
"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 Feb 27, 2024; 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.