James Allan Berg Jr., P.T.
Individual provider Active NPI Physical Therapist · Galesburg, IL
NPI 1750528600 · NPPES record last updated Jan 14, 2009
Key facts
- NPI
- 1750528600
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 070014492 (IL)
- Practice address
- 280 E Losey St
Galesburg, IL 61401-2819 - Phone
- (309) 343-2166
- NPI assigned
- Jan 14, 2009
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03314 | IA | MD | Physical Therapist |
| 070014492 | IL | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070014492 | IL | Yes |
| Physical Therapist | 225100000X | 03314 | IA |
Addresses
Primary practice location
280 E Losey St
Galesburg, IL 61401-2819
Mailing address
902 Iowa Dr
Le Claire, IA 52753-9814
Phone (563) 289-1349
Other providers in Galesburg, IL
- Anita Beetler
- Michelle E Beetler
- Shelby Beil
- Ivonne Lilian Beltran Lara
- Ralph S Benejam
- Bess-Tabb & Associates, LLC
- Tania Cynara de Sousa Bezerra
- John Robert Bicego Jr.
- Angela M Bickett
- Bruce John Bobofchak
All providers in Galesburg, IL · Physical Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2009. 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.