Kirsten Virginia Berdahl, PT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

356 Issued in AZ

Practice address

108 N 40TH St
Phoenix, AZ 85034-1704

Phone

(602) 286-8520

NPI assigned

Jun 4, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1831391697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6908 E WINDSOR AVE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852571342",
            "telephone_number": "480-423-3445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 N 40TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850341704",
            "telephone_number": "602-286-8520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERDAHL",
        "first_name": "KIRSTEN",
        "middle_name": "VIRGINIA",
        "credential": "PT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-04",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AZ",
            "license": "356",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "1138",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Ann Benysek
• Asmeret Zemuy Beraki
• Carey Ann Beranek, BCBA
• Cecilia Michelle Bercovich, PHARMD
• Kelsi Berczynski
• Jessica Michele Berdeja, MD
• Sarah Beres
• Margaret Ann Beresford, MC, ATR-BC, LPC
• Don C Beresini, MD
• Max Berestovetsky, PHARMD

• Athletic Trainer in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Athletic Trainer in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.