Active NPI
Elizabeth Celia Berman, PT, DPT, CIMT, CMTPT
- Physical Therapist
- Colonial Heights, VA
National Provider Identifier
1891738605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305203929
- Practice address
- 300B Temple Lake Dr Ste 1
Colonial Heights, VA 23834-2973 - Phone
- (804) 524-9036
- Fax
- (804) 524-9039
- NPI assigned
- Jun 13, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305203929 | VA | Primary |
Addresses
Primary practice location
300B Temple Lake Dr Ste 1
Colonial Heights, VA 23834-2973
Mailing address
PO Box 69030
Baltimore, MD 21264-9030
Phone (757) 873-2302
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891738605 | Medicaid | VA | |
| 192301 | Other | VA | ANTHEM JW PHYSICAL THERAP |
| 192953 | Other | VA | BCBS (PHYSICAL THERAPY) |
| 98999 | Other | VA | OPTIMA HEALTH |
| 5856061 | Other | VA | AETNA |
| 258462 | Other | VA | SOUTHERN HEALTH |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523491200000",
"number": "1891738605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 69030",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212649030",
"telephone_number": "757-873-2302",
"fax_number": "757-873-2306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300B TEMPLE LAKE DR STE 1",
"city": "COLONIAL HEIGHTS",
"state": "VA",
"postal_code": "238342973",
"telephone_number": "804-524-9036",
"fax_number": "804-524-9039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERMAN",
"first_name": "ELIZABETH",
"middle_name": "CELIA",
"credential": "PT, DPT, CIMT, CMTPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-13",
"last_updated": "2018-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305203929",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1891738605",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM JW PHYSICAL THERAP",
"identifier": "192301",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS (PHYSICAL THERAPY)",
"identifier": "192953",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA HEALTH",
"identifier": "98999",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5856061",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHERN HEALTH",
"identifier": "258462",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Colonial Heights, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.