Emma Rose Bergmann, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

CP053739T Issued in OK

Practice address

1401 SW Parkridge Blvd Ste a
Lawton, OK 73505-9200

Phone

(580) 730-8015

NPI assigned

Aug 9, 2024

Last updated

Mar 5, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NC, OK2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Select Physical Therapy Holdings IncGroup PAC ID 9537076401, 1,992 clinicians

Advanced Physical Therapy Solutions LLCGroup PAC ID 8820068133, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Physical Therapy Solutions LLC

  • Physical Therapist
  • Fayetteville, NC
  • NPI 1467405019
  Medicare reassignment Care Compare group NPD
• Select Physical Therapy Holdings Inc

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Stillwater, OK
  • NPI 1205162716
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1679304976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 SW PARKRIDGE BLVD STE A",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735059200",
            "telephone_number": "580-730-8015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 SW PARKRIDGE BLVD STE A",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735059200",
            "telephone_number": "580-730-8015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 Executive Pl",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283055390",
            "country_code": "US",
            "telephone_number": "910-423-5550",
            "fax_number": "910-423-5552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERGMANN",
        "first_name": "EMMA",
        "middle_name": "ROSE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-09",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "CP053739T",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P23404",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05016302A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Bellofatto, LPN
• David Benner
• Caroline Dawn Bennett, ARNP-CNP
• Candace Benson
• Christopher C. Benson, DO
• Mercedez Bernard, D.O.
• Makayla Marie Berry
• Virginia Ann Berry
• Walter Thomas Berry, RN
• Zachary Michael Berry, M.D.

• Physical Therapist in Lawton, OK
• Providers in Lawton, OK by specialty
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; 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.