Active NPI
Elisabeth M Berry
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Montgomery, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 1111342
- Practice address
- 750 Fish Creek Thoroughfare
Montgomery, TX 77316-6965 - Phone
- (936) 272-0790
- NPI assigned
- Aug 23, 2007
- Last updated
- May 14, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | 1111342 | TX | Primary |
| Physical Therapist | 225100000X | 007742 | OH | |
| Physical Therapist | 225100000X | 61470 | OR |
Addresses
Primary practice location
750 Fish Creek Thoroughfare
Montgomery, TX 77316-6965
Mailing address
107 N Concord Valley Cir
Spring, TX 77382-1390
Phone (937) 344-9549
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6767 Lake Woodlands Dr
Suite F
The Woodlands, TX 77382-2566
Phone (281) 364-1122
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.05 of 100
- Quality
- 67.43
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.42
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1111342 | TX | MD | Sports Medicine (Physical Medicine & Rehabilitation) Physician |
| 007742 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sterling Ridge Orthopaedics and Sports Medicine, LLC | Sports Medicine | Current | Accepting new patients |
| Clackamas Sportscare LLC | Physical Therapist | Current | Accepting new patients |
| Sterling Ridge Orthopaedics and Sports Medicine, LLC | Current | Accepting new patients |
Locations
750 Fish Creek Thoroughfare
Montgomery, TX 77316
Phone (936) 272-0790
20639 Kuykendahl Rd
Ste 200
Spring, TX 77379
Phone (832) 698-0111
6767 Lake Woodlands Dr
#F
The Woodlands, TX 77382
Phone (281) 364-1122
Interoperability endpoints
- elisabeth.berry.1@1066.direct.athenahealth.com
Organizations & group practices 3
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.
-
dba Sterling Physical Therapy
- Sports Medicine (Orthopaedic Surgery) Physician
- The Woodlands, TX
- NPI 1881626117
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Spring, TX
- NPI 1154965739
-
- Physical Therapist
- Clackamas, OR
- NPI 1689702722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715644800000",
"number": "1851584726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 N CONCORD VALLEY CIR",
"city": "SPRING",
"state": "TX",
"postal_code": "773821390",
"telephone_number": "937-344-9549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 FISH CREEK THOROUGHFARE",
"city": "MONTGOMERY",
"state": "TX",
"postal_code": "773166965",
"telephone_number": "936-272-0790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRY",
"first_name": "ELISABETH",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-23",
"last_updated": "2024-05-14",
"certification_date": "2024-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "2081S0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": "TX",
"license": "1111342",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "007742",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "61470",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.