Fay Ann Bergeron, RPT
Individual provider Active NPI Physical Therapist · Valrico, FL
NPI 1932397809 · NPPES record last updated Jul 3, 2018
Key facts
- NPI
- 1932397809
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT13795 (FL)
- Practice address
- 2530 Ridgetop Way
Valrico, FL 33594 - Phone
- (813) 684-9985
- Fax
- (813) 655-2622
- NPI assigned
- Oct 4, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT13795 | FL | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | |||
| Physical Therapist | 225100000X | PT13795 | FL | Yes |
Addresses
Primary practice location
2530 Ridgetop Way
Valrico, FL 33594
Mailing address
2208 Dumbarton Way
Valrico, FL 33594-4117
Phone (813) 684-4520
Other providers in Valrico, FL
- Jason Ronald Beall
- Behavioral Health Management Services, Inc.
- Theresa Benefield
- Jordan Benibanonde
- Benrac Tender Care Inc
- Alyssa Best
- Lisa Michelle Bettcher
- Edward Betzer
- Beyond Academics
- Dillon Bieger
All providers in Valrico, FL · Physical Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 3, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.