Doctor Name: | MR. JEREMY C. BERGER |
NPI Number: | 1518181338 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT, MPT |
License Number: | 2305204446 |
Business Practice Address: | 1299 Beneva Rd Sarasota, FL - 342323152 |
Business Phone Number: | 9419510283 |
Business Fax Number: | 9419510283 |
Mailing Address: | 520 7th St W Unit 1714, PALMETTO |
State: | FL |
Postal Code: | 342207069 |
Phone Number: | 4103711342 |
Fax Number: | |
NPI Enumeration Date: | 04/12/2007 |
NPI Last Update Date: | 11/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2305204446 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |