Cynthia Louise Berg, P.T.

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

2767-024 Issued in WI

Practice address

9449 W Forest Home Ave
Hales Corners, WI 53130-1611

Phone

(414) 529-6888

Fax

(414) 529-1271

NPI assigned

Apr 7, 2008

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207526400000",
    "number": "1902079320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9449 W FOREST HOME AVE",
            "city": "HALES CORNERS",
            "state": "WI",
            "postal_code": "531301611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9449 W FOREST HOME AVE",
            "city": "HALES CORNERS",
            "state": "WI",
            "postal_code": "531301611",
            "telephone_number": "414-529-6888",
            "fax_number": "414-529-1271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "CYNTHIA",
        "middle_name": "LOUISE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-07",
        "last_updated": "2008-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "WI",
            "license": "2767-024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40169200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony H Balcom, MD
• Samantha Bartlett, MS, LPC
• Christian Bauer
• Bee'S Knees Speech Therapy, LLC
• Mary Louise Bell, PH.D
• Nathan David Berg, AU.D.
• Kim Bilda, LMT
• Lu Ann Bird
• Kendra Bisping, PT, DPT
• Sharon Marie Blomdahl, LPN/RCS

• Geriatric Physical Therapist in Hales Corners, WI
• Providers in Hales Corners, WI by specialty
• Geriatric Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2008; 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.