Pediactivity LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PEDIACTIVITY LLC

Practice address

2111 Neuse Blvd Ste D
New Bern, NC 28560-4318

Phone

(232) 497-8350

Fax

(252) 999-6905

NPI assigned

Aug 4, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Sheri Lynn Ireland Berk, PHYSCIAL THERAPISTNPI 1669512992

Title

Founder

Phone

(630) 234-8265

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sheri Lynn Irelandberk, PT

  • Physical Therapist
  • New Bern, NC
  • NPI 1669512992

  Multi-Specialty

  NPD Authorized official
• Morgan Kaufman, PT, DPT

  • Physical Therapist
  • New Bern, NC
  • NPI 1902788300

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1691107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708992000000",
    "number": "1881376101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 BRACKEN FERN DR",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285607150",
            "telephone_number": "630-234-8265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 NEUSE BLVD STE D",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285604318",
            "telephone_number": "232-497-8350",
            "fax_number": "252-999-6905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1904 S Glenburnie Rd",
            "address_purpose": "LOCATION",
            "city": "New Bern",
            "state": "NC",
            "postal_code": "285625263",
            "country_code": "US",
            "telephone_number": "630-234-8265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PEDIACTIVITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-04",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A",
        "authorized_official_last_name": "IRELAND BERK",
        "authorized_official_first_name": "SHERI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "630-234-8265",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHYSCIAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Elizabeth Peacock, PHARMD
• Peak Performance Sports and Physical Therapy, LLC
• David M Pearce, MPT
• Teresita Uytingeo Pearce, PA-C
• Julie Ann Pearson, CRNA
• Pelhams Compassionate Home Care Agency, Inc
• Janet B Pelletier, MSN RN FNP-BC
• Charmeen Andrea Penn, MSW, LCSW
• Robert David Penn Jr., PA-C
• Audrey Lynne Peppin, MS, OTR/L

• Physical Therapist in New Bern, NC
• Providers in New Bern, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.