Individual provider Active NPI

Christopher Peter Berchem, PT

  • Orthopedic Physical Therapist
  • Cottage Grove, MN
National Provider Identifier
1720111263
Registry record updated Apr 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
4286 Issued in MN
Practice address
8811 92ND St S
Suite 101
Cottage Grove, MN 55016-4036
Phone
(651) 458-9446
Fax
(651) 458-0817
NPI assigned
Mar 13, 2007
Last updated
Apr 3, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 4286 MN Primary

Addresses

Primary practice location

8811 92ND St S
Suite 101
Cottage Grove, MN 55016-4036

Mailing address

8811 92ND St S Ste 101
Cottage Grove, MN 55016-4037
Phone (651) 241-3777

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

LicenseStateTypeSpecialty
4286MNMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Allina Health System Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cberchem19263@excellian.direct.allina.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585872000000",
    "number": "1720111263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8811 92ND ST S STE 101",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550164037",
            "telephone_number": "651-241-3777",
            "fax_number": "651-241-3778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8811 92ND ST S",
            "address_2": "SUITE 101",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550164036",
            "telephone_number": "651-458-9446",
            "fax_number": "651-458-0817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERCHEM",
        "first_name": "CHRISTOPHER",
        "middle_name": "PETER",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MN",
            "license": "4286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottage Grove, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.