Individual provider Active NPI

David Franklin Berry, MSPT

  • Physical Therapist
  • Twin Falls, ID
National Provider Identifier
1821276858
Registry record updated Mar 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-1281 Issued in ID
Practice address
812 Shoshone St E
Twin Falls, ID 83301-6336
Phone
(208) 735-8563
NPI assigned
Jan 31, 2008
Last updated
Mar 30, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2009

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 PT-1281 ID Primary

Addresses

Primary practice location

812 Shoshone St E
Twin Falls, ID 83301-6336

Mailing address

812 Shoshone St E
Twin Falls, ID 83301-6336
Phone (208) 735-8563

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-1281IDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lifestyles Therapy & Wellness Center Inc. Physical Therapist PastSince May 1, 2008 Accepting new patients
Twin Falls Physical Therapy and Wellness Clinic Physical Therapist Past Accepting new patients
Castle Therapy PLLC Physical Therapist PastSince Apr 25, 2024 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238371200000",
    "number": "1821276858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 SHOSHONE ST E",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833016336",
            "telephone_number": "208-735-8563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 SHOSHONE ST E",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833016336",
            "telephone_number": "208-735-8563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "DAVID",
        "middle_name": "FRANKLIN",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-31",
        "last_updated": "2009-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-1281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.