Active NPI
Andrew Ryan Bergman, DPT
- Physical Therapist
- Redmond, WA
National Provider Identifier
1831629138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 60674029
- Practice address
- 15809 Bear Creek Pkwy Ste 100
Redmond, WA 98052-1542 - Phone
- (425) 882-6100
- NPI assigned
- Jun 19, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 60674029 | WA | Primary |
Addresses
Primary practice location
15809 Bear Creek Pkwy Ste 100
Redmond, WA 98052-1542
Mailing address
2775 Waterhaven Dr
Chattanooga, TN 37406-1151
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60674029 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1497830400000",
"number": "1831629138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2775 WATERHAVEN DR",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374061151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15809 BEAR CREEK PKWY STE 100",
"city": "REDMOND",
"state": "WA",
"postal_code": "980521542",
"telephone_number": "425-882-6100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGMAN",
"first_name": "ANDREW",
"middle_name": "RYAN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-19",
"last_updated": "2017-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "60674029",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redmond, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.