Active NPI
Walter Bernard Neuberger, MSPT, DPT, STC
- Physical Therapist
- Westerly, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT02597
- Practice address
- 85 Beach St
Building D
Westerly, RI 02891-2717 - Phone
- (401) 348-8112
- Fax
- (401) 348-7009
- NPI assigned
- Mar 21, 2007
- Last updated
- Oct 3, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070014120 | IL | |
| Physical Therapist | 225100000X | PT02597 | RI | Primary |
Addresses
Primary practice location
85 Beach St
Building D
Westerly, RI 02891-2717
Mailing address
85 Beach St
Building D
Westerly, RI 02891-2717
Phone (401) 348-8112
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
535 Centerville Rd
Suite 101
Warwick, RI 02886-4376
Phone (401) 737-4581
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070014120 | IL | MD | Physical Therapist |
| PT02597 | RI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
Locations
535 Centerville Rd
Ste 101
Warwick, RI 02886
Phone (401) 737-4581
144 Granite St
Westerly, RI 02891
Phone (401) 799-5111
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.
-
- Physical Therapist
- Warwick, RI
- NPI 1225123565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380758400000",
"number": "1780700864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 BEACH ST",
"address_2": "BUILDING D",
"city": "WESTERLY",
"state": "RI",
"postal_code": "028912717",
"telephone_number": "401-348-8112",
"fax_number": "401-348-7009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 BEACH ST",
"address_2": "BUILDING D",
"city": "WESTERLY",
"state": "RI",
"postal_code": "028912717",
"telephone_number": "401-348-8112",
"fax_number": "401-348-7009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEUBERGER",
"first_name": "WALTER",
"middle_name": "BERNARD",
"name_prefix": "Mr.",
"credential": "MSPT, DPT, STC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-21",
"last_updated": "2013-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070014120",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "RI",
"license": "PT02597",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westerly, RI
- Shivani Myer, M.D.
- Napatree Physical Therapy Inc (Choice Physical Therapy)
- Napatree Physical Therapy Inc (Choice Physical Therapy of Westerly)
- Navigant Counseling, LLC
- Kevin C. Neilson, MD
- New England Center for Anxiety LLC
- New England Center for Anxiety LLC
- New England Wellness & Chronic Pain Center, P.C.
- Karl NG, RPH
- Nichols Lane Group Home
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; 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.