Jillian Layne Berry
Individual provider Active NPI Athletic Trainer · Bernville, PA
NPI 1821753450 · NPPES record last updated Nov 8, 2021
Key facts
- NPI
- 1821753450
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 21 Heidelberg CT
Bernville, PA 19506-9517 - Phone
- (484) 818-1613
- NPI assigned
- Nov 8, 2021
- Sex
- Female
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Athletic Trainer | 2255A2300X | Yes |
Addresses
Primary practice location
21 Heidelberg CT
Bernville, PA 19506-9517
Mailing address
21 Heidelberg CT
Bernville, PA 19506-9517
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tug47356@temple.edu |
Other providers in Bernville, PA
- Align Your Life, LLC
- Kathleen Ann Basehore
- Bernville Family Practice Center LTD
- Kathleen Schuettler Charles
- Elizabeth Ann Clark
- John Arthur Dicasimirro
- Tasha Marie Dipiton de la Rosa
- Wayne T Doxsee
All providers in Bernville, PA · Athletic Trainer in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2021. 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.