Individual provider Active NPI

Sheri Lynn Irelandberk, PT

  • Physical Therapist
  • New Bern, NC
National Provider Identifier
1669512992
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P14814 Issued in NC
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

Updated by the provider on Feb 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
09932114OtherILBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241205004222 NC Practitioner - Physical Therapist in Private Practice 0749716363 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
P14814NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pappus Pelvic Health and Wellness, LLC. Multi-Specialty CurrentSince Oct 22, 2024 Accepting new patients
Pediactivity LLC Multi-Specialty CurrentSince Mar 3, 2024 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.

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.

Verify at the official NPI Registry.