Paul Arthur Berg Jr., PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5990 Issued in MN

Practice address

1400 1St St NE
New Prague, MN 56071-2215

Phone

(952) 758-2535

NPI assigned

Sep 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: paulberg@pmc.allscriptsdirect.net

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.

• Optimal Sports Physical Therapy,LLC

  • Physical Therapist
  • New Prague, MN
  • NPI 1932209020
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200528000000",
    "number": "1699875757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 HERITAGE TRL",
            "city": "NEW PRAGUE",
            "state": "MN",
            "postal_code": "560712200",
            "telephone_number": "952-758-7014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 1ST ST NE",
            "city": "NEW PRAGUE",
            "state": "MN",
            "postal_code": "560712215",
            "telephone_number": "952-758-2535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "PAUL",
        "middle_name": "ARTHUR",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2008-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "5990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN BLUE CROSS BLUE SHIELD",
            "identifier": "14N36BE",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholas Bennett, M.D
• Andrea Beno, OTR/L
• Daniel R Berg, MD
• John Howard Berg Jr., MD
• Mark A Berg, MD
• Sylvia Cecile Bisek, RN
• Jessica Lynn Bjorkman, BCBA, PHD
• Alex Jennings Boson, DDS
• Kristen Bowe, FNP-C
• Lori K. Brown, MA

• Physical Therapist in New Prague, MN
• Providers in New Prague, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; 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.