Healthcare Provider Details

I. General information

NPI: 1356673354
Provider Name (Legal Business Name): JOYCE ANN BERGER PT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JAY ANN SCHWEITZER PT

II. Dates (important events)

Enumeration Date: 02/02/2010
Last Update Date: 02/22/2022
Certification Date: 02/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8945 W POST RD STE 200
LAS VEGAS NV
89148-2430
US

IV. Provider business mailing address

4947 PAYSPHERE CIRCLE
CHICAGO IL
60674-4947
US

V. Phone/Fax

Practice location:
  • Phone: 702-251-7147
  • Fax: 702-251-7151
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number002816
License Number StateWV
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number16588
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code2251C2600X
TaxonomyCardiopulmonary Physical Therapist
License Number15849
License Number StateMD
# 4
Primary TaxonomyN
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License Number15849
License Number StateMD
# 5
Primary TaxonomyN
Taxonomy Code2251N0400X
TaxonomyNeurology Physical Therapist
License Number15849
License Number StateMD
# 6
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number15849
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: