Active NPI
Cliff Bertin, LPTA
- Physical Therapy Assistant
- Chicago, IL
National Provider Identifier
1689810921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 160.004591
- Practice address
- 3160 N Cambridge Ave
Apt. 406
Chicago, IL 60657-6831 - Phone
- (773) 344-5953
- NPI assigned
- Dec 16, 2008
- Last updated
- Dec 16, 2008
- Sex
- Male
- Sole proprietor
- No
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 Therapy Assistant | 225200000X | 160.004591 | IL | Primary |
Addresses
Primary practice location
3160 N Cambridge Ave
Apt. 406
Chicago, IL 60657-6831
Mailing address
3160 N Cambridge Ave
Apt. 406
Chicago, IL 60657-6831
Phone (773) 344-5953
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 160.004591 | IL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229385600000",
"number": "1689810921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3160 N CAMBRIDGE AVE",
"address_2": "APT. 406",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606576831",
"telephone_number": "773-344-5953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3160 N CAMBRIDGE AVE",
"address_2": "APT. 406",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606576831",
"telephone_number": "773-344-5953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERTIN",
"first_name": "CLIFF",
"credential": "LPTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-12-16",
"last_updated": "2008-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "IL",
"license": "160.004591",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.