MEDICARE: MRS. JOYCE ANN BERGER PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	002816	WV
2	225100000X	Physical Therapist	16588	NC
3	2251C2600X	Cardiopulmonary Physical Therapist	15849	MD
4	2251G0304X	Geriatric Physical Therapist	15849	MD
5	2251N0400X	Neurology Physical Therapist	15849	MD
6	225100000X	Physical Therapist	15849	MD

General Provider Information

NPI Number	:	1356673354
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JOYCE ANN BERGER PT

Provider Business Mailing Address
First Line	:	4947 PAYSPHERE CIRCLE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60674-4947
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8945 W POST RD STE 200
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-2430
Country	:	US
Telephone Number	:	702-251-7147
Fax Number	:	702-251-7151

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/02/2010
Last Update Date	:	02/22/2022

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Directions to “ MRS. JOYCE ANN BERGER PT” Practice Location

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