Individual provider Active NPI

Julieann M Berg, DPT

  • Orthopedic Physical Therapist
  • Philadelphia, PA
National Provider Identifier
1841713856
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
DAPT004704 Issued in PA
Practice address
1148 Wharton St Apt 311
Philadelphia, PA 19147-5072
Phone
(484) 919-1066
Fax
(484) 496-8213
NPI assigned
Jul 21, 2017
Last updated
Mar 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT026132 PA
Orthopedic Physical Therapist 2251X0800X PT296165 CA
Orthopedic Physical Therapist 2251X0800X DAPT004704 PA Primary

Addresses

Primary practice location

1148 Wharton St Apt 311
Philadelphia, PA 19147-5072

Mailing address

1148 Wharton St Apt 311
Philadelphia, PA 19147-5072
Phone (484) 919-1066

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

LicenseStateTypeSpecialty
PT026132PAMDPhysical Therapist
PT296165CAMDOrthopedic Physical Therapist
DAPT004704PAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Julieann Berg, PT, DPT LLC Orthopedic CurrentSince Mar 21, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1500595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1841713856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1148 WHARTON ST APT 311",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191475072",
            "telephone_number": "484-919-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1148 WHARTON ST APT 311",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191475072",
            "telephone_number": "484-919-1066",
            "fax_number": "484-496-8213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "JULIEANN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-21",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT026132",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT296165",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "PA",
            "license": "DAPT004704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.