Individual provider Active NPI

Eric Berg

  • Physical Therapist
  • Vero Beach, FL
National Provider Identifier
1750850848
Registry record updated Nov 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
32533 Issued in FL
Practice address
1440 Ocean Dr Apt 8
Vero Beach, FL 32963-5302
Phone
(970) 420-5985
NPI assigned
Nov 19, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 32533 FL Primary

Addresses

Primary practice location

1440 Ocean Dr Apt 8
Vero Beach, FL 32963-5302

Mailing address

1440 Ocean Dr Apt 8
Vero Beach, FL 32963-5302
Phone (970) 420-5985

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230616000305 NE Practitioner - Physical Therapist in Private Practice 3779972906 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Strive Physical TherapyGroup PAC ID 2466851506, 3 clinicians

Practice addresses (Care Compare)

4530 N 167TH St
Omaha, NE 68116-2962
Phone 40299001431

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4387NEMDDentist
32533FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Goodcare Athome Rehab, LLC Physical Therapist CurrentSince Aug 21, 2023 Accepting new patients
Strive Physical Therapy Physical Therapist CurrentSince Jun 6, 2023 Accepting new patients

Locations

1000 N West Ave
Ste 210
Sioux Falls, SD 57104
Phone (605) 403-0933

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1542585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1750850848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 OCEAN DR APT 8",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329635302",
            "telephone_number": "970-420-5985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 OCEAN DR APT 8",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329635302",
            "telephone_number": "970-420-5985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "ERIC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-19",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "32533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; 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.