Individual provider Active NPI

Kathleen Ann Berglund, PT

  • Physical Therapist
  • Battle Creek, MI
National Provider Identifier
1972784296
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501002137 Issued in MI
Practice address
3480 Capital Ave SW
Battle Creek, MI 49015
Phone
(269) 979-3000
NPI assigned
Nov 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501002137 MI Primary

Addresses

Primary practice location

3480 Capital Ave SW
Battle Creek, MI 49015

Mailing address

3480 Capital Ave SW
Battle Creek, MI 49015-9354
Phone (269) 979-3000

Other practice location 1

3770 Glenkerry Ct
Portage, MI 49024-0700
Phone (269) 329-2887

Other practice location 2

3770 Glenkerry Ct
Portage, MI 49024-0700
Phone (269) 329-2887

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

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Physical Therapy Physical Therapist Current Accepting new patients
Southern Michigan Pain Consultants PC Past Accepting new patients

Locations

61 Commerce Ave SW
Grand Rapids, MI 49503
Phone (616) 940-0660

3770 Glenkerry Ct
Portage, MI 49024
Phone (269) 329-2887

Organizations & group practices 2

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": "1195084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1972784296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3480 CAPITAL AVE SW",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490159354",
            "telephone_number": "269-979-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3480 CAPITAL AVE SW",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "49015",
            "telephone_number": "269-979-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3770 Glenkerry Ct",
            "address_purpose": "LOCATION",
            "city": "Portage",
            "state": "MI",
            "postal_code": "490240700",
            "country_code": "US",
            "telephone_number": "269-329-2887",
            "fax_number": "269-329-2805",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3770 Glenkerry Ct",
            "address_purpose": "LOCATION",
            "city": "Portage",
            "state": "MI",
            "postal_code": "490240700",
            "country_code": "US",
            "telephone_number": "269-329-2887",
            "fax_number": "269-329-2805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERGLUND",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-15",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501002137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; 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.