Healthcare Provider Details

I. General information

NPI: 1598655409
Provider Name (Legal Business Name): ELIANNA BERMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/03/2025
Last Update Date: 07/15/2025
Certification Date: 07/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 E FLORIDA AVE STE 330
DENVER CO
80210-2546
US

IV. Provider business mailing address

3215 TEJON ST APT 210
DENVER CO
80211-3697
US

V. Phone/Fax

Practice location:
  • Phone: 303-370-2670
  • Fax: 303-370-2696
Mailing address:
  • Phone: 414-339-1907
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: