Individual provider Active NPI

Maria Cielito Alma Maceda Berin, P.T.

  • Pediatric Physical Therapist
  • Bloomington, IN
National Provider Identifier
1861544959
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
05006267A Issued in IN
Practice address
2536 Industrial Drive
Suite 10-11
Bloomington, IN 47303
Phone
(812) 332-7529
Fax
(812) 339-7529
NPI assigned
Jan 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 05006267A IN Primary

Addresses

Primary practice location

2536 Industrial Drive
Suite 10-11
Bloomington, IN 47303

Mailing address

341 S Woodfield LN
Bloomington, IN 47403-9070
Phone (812) 825-8815

Other names 1

  • Mrs. Cindy Maceda Berin Other name

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
05006267AINMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
MCB Therapy Services,Inc. Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861544959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 S WOODFIELD LN",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474039070",
            "telephone_number": "812-825-8815",
            "fax_number": "812-825-8815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2536 INDUSTRIAL DRIVE",
            "address_2": "SUITE 10-11",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "47303",
            "telephone_number": "812-332-7529",
            "fax_number": "812-339-7529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERIN",
        "first_name": "MARIA CIELITO ALMA",
        "middle_name": "MACEDA",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "IN",
            "license": "05006267A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CINDY",
            "last_name": "BERIN",
            "middle_name": "MACEDA",
            "prefix": "MRS.",
            "credential": "P.T.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bloomington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.