Jennifer Bergeron, DPT
Individual provider Active NPI Physical Therapist · Hartford, CT
NPI 1851055032 · NPPES record last updated Oct 25, 2021
Key facts
- NPI
- 1851055032
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 32 Seymour St
Hartford, CT 06106 - Phone
- (860) 545-5000
- NPI assigned
- Oct 25, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13302 | CT | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 13302 | CT | |
| Physical Therapist | 225100000X | Yes |
Addresses
Primary practice location
32 Seymour St
Hartford, CT 06106
Mailing address
9 Strawberry Rd Apt 45
Ellington, CT 06029-2540
Other providers in Hartford, CT
- Adrienne L. Bentman
- John Imre Benyei
- Edmond Beqiri
- Patrick Bergamo
- Joseph Ian Berger
- Daniel Robert Bergin
- Vivien Sara Bergl
- Kristen Bergman-Flores
- Emma Catherine Bergstrom
- Sarah Bergstrom
All providers in Hartford, CT · Physical Therapist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 25, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.