Andrea Bergen, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070019917 Issued in IL

Practice address

2 P7G Plaza
Cincinnati, OH 45202-3315

Phone

(513) 983-9999

Fax

(513) 983-1696

NPI assigned

Jul 15, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Andrea Cornell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544486400000",
    "number": "1851732150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 633448",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452633448",
            "telephone_number": "773-907-3599",
            "fax_number": "773-907-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 P7G PLAZA",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452023315",
            "telephone_number": "513-983-9999",
            "fax_number": "513-983-1696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5414 N Broadway St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606401704",
            "country_code": "US",
            "telephone_number": "773-907-3599",
            "fax_number": "773-907-3510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERGEN",
        "first_name": "ANDREA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-15",
        "last_updated": "2018-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070019917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "CORNELL",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elizabeth M Berg Berg Wieczorek
• Andrew Colin Berg
• Kenneth Aaron Berg, M.D.
• Timothy Berg
• Barbara J. Bergan, LPC
• Samantha Kay Bergen, RN
• Amy Marie Berger, LPC, LCDC III
• Helene R Berger, M.ED, PC
• Jose Berger, MD
• Michael Joseph Berger, MD

• Physical Therapist in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; 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.