Rhonda G Berg

Individual provider Active NPI Physical Therapy Assistant · Lenexa, KS

NPI 1962053231 · NPPES record last updated Sep 26, 2019

Key facts

NPI
1962053231
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
14-00462 (KS)
Practice address
9701 Monrovia St
Lenexa, KS 66215-1564
Phone
(913) 492-1130
NPI assigned
Sep 26, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
14-00462KSMDPhysical Therapy Assistant
116113MOMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 116113 MO
Physical Therapy Assistant 225200000X 14-00462 KS Yes

Addresses

Primary practice location

9701 Monrovia St
Lenexa, KS 66215-1564

Mailing address

1020 NE Copperwood Dr
Lees Summit, MO 64086-0020
Phone (913) 449-9471

Other names

  • Rhonda G Stockton Other name

Other providers in Lenexa, KS

All providers in Lenexa, KS · Physical Therapy Assistant in Kansas

Sources for this page

Verify at the official NPI Registry.