Linda Berggren
Individual provider Active NPI Physical Therapist · Augusta, KS
NPI 1720114622 · NPPES record last updated Nov 4, 2025
Key facts
- NPI
- 1720114622
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 11-01386 (KS)
- Practice address
- 1503 Washington LN
Augusta, KS 67010-1638 - Phone
- (316) 775-0700
- Fax
- (316) 775-0730
- NPI assigned
- Feb 26, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1503 Washington LN
Augusta, KS 67010-1638
Phone (316) 775-0700
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120312000096 | KS | Practitioner - Physical Therapist in Private Practice | 1951560937 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11-01386 | KS | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11-01386 | KS | Yes |
Addresses
Primary practice location
1503 Washington LN
Augusta, KS 67010-1638
Mailing address
1503 Washington LN
Augusta, KS 67010-1638
Phone (316) 775-0700
Other providers in Augusta, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.