Kaitlyn Berreau

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

2867 Issued in ND

Practice address

4575 23Rd Ave S
Fargo, ND 58104-8783

Phone

(701) 347-1782

NPI assigned

Jun 2, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Physical Therapist in Private Practice

Education

Other, 2026

Medicare assignment

May accept Medicare assignment

Group practices

Myna Therapy Services PLLCGroup PAC ID 8022499888, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Myna Therapy Services PLLC

  • Multi-Specialty Clinic/Center
  • Fargo, ND
  • NPI 1427788629
  Care Compare group NPD
• Myna Early Intervention LLC

  • Early Intervention Provider Agency
  • Fargo, ND
  • NPI 1639981343
  NPD

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

{
    "created_epoch": "1780358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1831021807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5839 57TH AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581045699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4575 23RD AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048783",
            "telephone_number": "701-347-1782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERREAU",
        "first_name": "KAITLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-02",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "ND",
            "license": "2867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sidney Bernhardson, OTR/L
• Ruth Bernier, RN
• Antonia Lee Berning
• Carolyn Berning
• Sarah Bernstrom, LSW
• Eva Teresa Berro, MD
• James H Berro, M.D.
• Brianna Berry, OTA
• Spencer D Berry, MD
• Taylor Berry

• Pediatric Physical Therapist in Fargo, ND
• Providers in Fargo, ND by specialty
• Pediatric Physical Therapist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.