Steven Wayne Berry, MSPT
Individual provider Active NPI Physical Therapist · Guilford, CT
NPI 1740412873 · NPPES record last updated Sep 27, 2010
Key facts
- NPI
- 1740412873
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 8914 (CT)
- Practice address
- 385 Church St
Guilford, CT 06437-6003 - Phone
- (203) 453-2844
- Fax
- (203) 453-8772
- NPI assigned
- Aug 24, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8914 | CT | MD | Physical Therapist |
| PT24938 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Rehabilitation Services, LLC | Physical Therapist | Past |
Accepting new patients |
| Sacred Heart University, Inc | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT24938 | FL | |
| Physical Therapist | 225100000X | 8914 | CT | Yes |
Addresses
Primary practice location
385 Church St
Guilford, CT 06437-6003
Mailing address
270 Farmington Ave
Suite 303
Farmington, CT 06032-1909
Phone (860) 409-4595
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT-24938 | Other | FL | FL. PHYSICAL THERAPIST LICENSE NUMBER |
| 8914 | Other | CT | CT LICENSE NUMBER |
Other providers in Guilford, CT
- Andrea Cook Basel
- Paul Sherman Bauer IV
- Marion Belanger
- Jennifer Marie Bell
- Jennifer Martin Benben
- Beth a Collins MD, P.C.
- Mikayla Bibbins
- Larry Michael Bilker
- Birch Mountain Counseling & Consulting
- Heather Boardman
All providers in Guilford, CT · Physical Therapist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.