Individual provider Active NPI

Jamie Bergenfeld Asaro, PT

  • Developmental Therapist
  • Wellington, FL
National Provider Identifier
1902884588
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
Practice address
119 Hamilton Ter
Wellington, FL 33414-4339
Phone
(561) 793-6648
NPI assigned
Jan 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X Primary
Physical Therapist 225100000X 16205 FL

Addresses

Primary practice location

119 Hamilton Ter
Wellington, FL 33414-4339

Mailing address

3185 Hartridge Ter
Wellington, FL 33414-3431
Phone (561) 252-4744

Other identifiers 1

IdentifierTypeStateIssuer
886295800MedicaidFL

Other names 1

  • Jamie Bergenfeld Former 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)
Enrolled

State licenses

LicenseStateTypeSpecialty
16205FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jamie Bergenfeld, P.T.,Inc. Physical Therapist PastSince Apr 9, 2024 Accepting new patients
Physical Therapy in Your Home Inc Past Accepting new patients
Trinity 5 Inc Physical Therapist PastSince Jul 5, 2020 Accepting new patients

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": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1902884588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3185 HARTRIDGE TER",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334143431",
            "telephone_number": "561-252-4744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 HAMILTON TER",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334144339",
            "telephone_number": "561-793-6648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASARO",
        "first_name": "JAMIE",
        "middle_name": "BERGENFELD",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-04",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "16205",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "886295800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "BERGENFELD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wellington, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.