Kelly Bernhard, P.T.A.

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

07443 Issued in OH

Practice address

200 Glendola Ave NW
Warren, OH 44483-1295

Phone

(330) 847-6510

NPI assigned

Aug 5, 2014

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": "1407196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407196800000",
    "number": "1831508639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 GLENDOLA AVE NW",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444831295",
            "telephone_number": "330-847-6510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GLENDOLA AVE NW",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444831295",
            "telephone_number": "330-847-6510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNHARD",
        "first_name": "KELLY",
        "name_prefix": "Mrs.",
        "credential": "P.T.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-05",
        "last_updated": "2014-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "07443",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TE008586",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shamika Lorraine Bennett
• Jakia Benson
• Abigail Bentley, CDCA
• Gerhard Alexander Berberich, DDS MS
• Leonard P Berenholz, M.D.
• Deanna Berry, CRNP
• Angela Helen Bertok, PHARMD, RPH, BCPS
• Better Living Now, Inc.
• Will Beucler
• Vicky Beveridge, MASSAGE THERAPIST

• Physical Therapy Assistant in Warren, OH
• Providers in Warren, OH by specialty
• Physical Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; 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.