NPIMap

Organization Active NPI

Jamie Bergenfeld, P.T.,Inc.

  • Physical Therapist
  • Wellington, FL
National Provider Identifier
1912245457
Registry record updated Jan 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 16205 Issued in FL
Legal business name
JAMIE BERGENFELD, P.T.,INC.
Practice address
3185 Hartridge Ter
Wellington, FL 33414-3431
Phone
(561) 252-4744
NPI assigned
Jan 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2013

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

Authorized official

Name
Jamie Asaro, PTNPI 1902884588
Title
Owner
Phone
(561) 252-4744

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT 16205 FL Primary

Addresses

Primary practice location

3185 Hartridge Ter
Wellington, FL 33414-3431

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
886295800MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358380800000",
    "number": "1912245457",
    "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": "3185 HARTRIDGE TER",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334143431",
            "telephone_number": "561-252-4744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMIE BERGENFELD, P.T.,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-17",
        "last_updated": "2013-01-17",
        "status": "A",
        "authorized_official_last_name": "ASARO",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-252-4744",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 16205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "886295800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jan 17, 2013; 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.