Individual provider Active NPI

Nicolas Sean Berard, PT, DPT, CSCS

  • Physical Therapist
  • West Hills, CA
National Provider Identifier
1881965200
Registry record updated Sep 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
38615 Issued in CA
Practice address
23101 Sherman PL Ste 515
West Hills, CA 91307-2052
Phone
(747) 900-6362
Fax
(747) 900-6114
NPI assigned
Jan 17, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 38615 CA Primary

Addresses

Primary practice location

23101 Sherman PL Ste 515
West Hills, CA 91307-2052

Mailing address

23101 Sherman PL Ste 515
West Hills, CA 91307-2052
Phone (747) 900-6362

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120307000511 CA Practitioner - Physical Therapist in Private Practice 7810156007 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
New York University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forward Motion Physical TherapyGroup PAC ID 2264658343, 4 clinicians

Practice addresses (Care Compare)

23622 Calabasas Rd
Suite 100
Calabasas, CA 91302-1584
Phone (747) 900-6362

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38615CAMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Forward Motion Physical Therapy Physical Therapist CurrentSince Jun 2, 2014 Accepting new patients
Complete P T Pool and Land Physical Therapy Inc CurrentSince Feb 6, 2012 Accepting new patients
Healing Touch Physical Therapy & Fitness Past Accepting new patients

Locations

23622 Calabasas Rd
Ste 100
Calabasas, CA 91302
Phone (747) 900-6115

3283 Motor Ave
Los Angeles, CA 90034
Phone (310) 559-6900

7345 Medical Center Dr
Ste 200
West Hills, CA 91307
Phone (747) 900-6362

23101 Sherman Pl
Ste 515
West Hills, CA 91307
Phone (747) 900-6362

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1326758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1881965200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23101 SHERMAN PL STE 515",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913072052",
            "telephone_number": "747-900-6362",
            "fax_number": "747-900-6114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23101 SHERMAN PL STE 515",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913072052",
            "telephone_number": "747-900-6362",
            "fax_number": "747-900-6114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERARD",
        "first_name": "NICOLAS",
        "middle_name": "SEAN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-17",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "38615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; 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.

Verify at the official NPI Registry.