JENNIFER BERGMAN (NPI# 1063825859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063825859 |
| Entity Type | Individual |
| Full Name | JENNIFER BERGMAN |
| Credential | PT, MSPT |
| Practice Address |
305 Ne Loop 820 Business Tower 1, Suite 200 Hurst TX 76053-7209 |
| Practice Telephone | 8172928787 |
| Practice Fax Number | 8177896849 |
| Mailing Telephone | 8172928787 |
| Mailing Fax Number | 8177896849 |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2014-06-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
1174351 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245776608 | Jennifer Bergman | Speech-Language Pathologist | 538 S Pearl St, Denver, CO 80209-4205 | 2017-01-10 |
| 1265706360 | Jennifer T Bergman | Specialist | 3946 Us Highway 93 N, Stevensville, MT 59870-6425 | 2012-03-07 |
| 1679725840 | Jennifer Lynn Bergman | Speech-Language Pathologist | 500 Manchester Rd, Yorktown Heights, NY 10598-1204 | 2008-10-19 |
| 1528423258 | Jennifer Bergman | Pharmacist | 3601 Fm 1488 Rd, Conroe, TX 77384-3943 | 2015-12-22 |
| 1316235799 | Jennifer Rochelle Bergman | Marriage & Family Therapist | 90 E 200 N, Logan, UT 84321-4034 | 2011-07-19 |
| 1699893602 | Jennifer Ann Bergman | Marriage & Family Therapist | 40950 Chapel Way, Fremont, CA 94538-4236 | 2007-03-27 |
| 1871620971 | Jennifer Anne Bergman | Marriage & Family Therapist | 1433 S Robertson Blvd, Los Angeles, CA 90035-3414 | 2007-02-27 |
| 1447322136 | Jennifer Edna Bergman | Occupational Therapist | 9800 Se Sunnyside Rd, Clackamas, OR 97015-9750 | 2006-11-15 |
| Street Address |
305 NE LOOP 820 BUSINESS TOWER 1, SUITE 200 |
| City | HURST |
| State | TX |
| Zip Code | 76053-7209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972611143 | Alpha Omega Hospice Lp | Hospice Care, Community Based | 305 Ne Loop 820, Suite 411, Hurst, TX 76053 | 2006-08-28 |
| 1992303192 | Reuben Zeth Diaz | Physical Therapy Assistant | 305 Ne Loop 820, Business Tower 1, Suite 200, Hurst, TX 76053 | 2020-10-12 |
| 1093341729 | Laura Guadalupe Arredondo | Specialist/Technologist | 305 Ne Loop 820, Business Tower 1 Suite 200, Hurst, TX 76053 | 2020-03-13 |
| 1356825087 | Chloe Guillory | Occupational Therapy Assistant | 305 Ne Loop 820, Business Tower 1, Suite 200, Hurst, TX 76053 | 2018-09-19 |
| 1952882367 | Rosa Maria Chandarlis | Physical Therapy Assistant | 305 Ne Loop 820, Business Tower 1, Suite 200, Hurst, TX 76053-7209 | 2018-08-23 |
| 1124513155 | Mary Helen Lundeen | Speech-Language Pathologist | 305 Ne Loop 820, Business Tower 1, Suite 200, Hurst, TX 76053 | 2018-06-22 |
| 1932693496 | Jamie Michelle Goehring | Speech-Language Pathologist | 305 Ne Loop 820, Buisness Tower 1 Suite 200, Hurst, TX 96053 | 2018-06-19 |
| 1720517162 | Annie Tulsiani | Physical Therapist | 305 Ne Loop 820, Suite 200, Hurst, TX 76053 | 2017-06-08 |
| 1114454824 | Susan Martinez | Occupational Therapy Assistant | 305 Ne Loop 820, Bussiness Tower 1 Suite 200, Hurst, TX 76053-7209 | 2017-05-12 |
| 1851823470 | Rachel Ballard | Occupational Therapist | 305 Ne Loop 820, Business Tower 1, Suite 200, Hurst, TX 76053-7209 | 2017-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518449933 | Areli Nunez | Physical Therapy Assistant | 304 Willow St, Hurst, TX 76053 | 2018-09-01 |
| 1043737778 | Sarah Renee Sarmiento | Occupational Therapy Assistant | 305 Ne Loop 820 Suite 209, Hurst, TX 76053 | 2017-08-23 |
| 1689026676 | Knee Coaster, LLC | Durable Medical Equipment & Medical Supplies | 1675 Sotogrande Blvd, 202, Hurst, TX 76053 | 2016-07-01 |
| 1053769836 | National Vision, Inc. | Technician/Technologist | 732 West Pipeline Rd, Hurst, TX 76053 | 2016-06-02 |
| 1902269038 | Martha De La Cruz-rodriguez | Specialist/Technologist | 305 Ne Loop 820 Business, Tower 1 Suite 200, Hurst, TX 76053 | 2016-04-05 |
| 1427420249 | Carol R. Wadsworth | Psychologist | 700 Ne Loop 820 Ste 200a, Hurst, TX 76053 | 2015-10-21 |
| 1972984623 | Sara Khalid Mahmood | Dentist | 800 Forest Oaks Ln Ste A, Hurst, TX 76053 | 2015-06-17 |
| 1306230073 | Sachenka Rivas | Speech-Language Pathologist | 305 Ne Loop 820,business Tower 1, Suite 200, Hurst, TX 76053 | 2015-03-20 |
| 1760873954 | Marcy Ann Fuentes | Occupational Therapy Assistant | 305 Ne Loop 820; Business Tower 1, Suite 200, Hurst, TX 76053 | 2015-02-10 |
| 1588062632 | Carolina Talancon | Specialist/Technologist | 305 Ne Loop 820;, Business Tower 1, Suite 200;, Hurst, TX 76053 | 2014-12-05 |
| Find all providers in zip 76053 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073926135 | Rehanna Sharma | Physical Therapist | 305 Ne Loop 820 Ste 200, Hurst, TX 76053-7211 | 2014-06-06 |
| 1386142560 | Colleen Volk | Physical Therapist | 305 Ne Loop 820 Business Tower 1, Suite 200, Hurst, TX 76053 | 2018-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588271472 | Brain & Body Boost, LLC | Physical Therapist | 4360 Bristleleaf Ln, Prosper, TX 75078-1218 | 2020-09-25 |
| 1871108019 | Tu Khai Le | Physical Therapist | 13503 Parkstone View Cir, Houston, TX 77083-1820 | 2020-09-14 |
| 1518572171 | Kathryn Elizabeth Hill | Physical Therapist | 8603 Broadway St Ste 170, Pearland, TX 77584-8171 | 2020-09-10 |
| 1730797838 | Sara Burris | Physical Therapist | 2424 Wilcrest Dr Ste 109, Houston, TX 77042-2761 | 2020-07-15 |
| 1043838204 | Tiffany Ainsworth | Physical Therapist | 5454 Newcastle St Apt 232, Houston, TX 77081-2259 | 2020-07-13 |
| 1811510597 | Amanda Medina Calimbas | Physical Therapist | 1019 Warm Summer Dr, Richmond, TX 77406-2732 | 2020-05-28 |
| 1720600513 | Ll Pediatric Therapy LLC | Physical Therapist | 11200 Lakeline Mall Dr Ste Do5a, Cedar Park, TX 78613-1501 | 2020-05-14 |
| 1922620822 | Toddler Town Rehab, LLC | Physical Therapist | 5219 S Mccoll Rd Ste D, Edinburg, TX 78539-3168 | 2020-05-13 |
| 1083240790 | Assiduous Healthcare Group, LLC | Physical Therapist | 1300 Lowe Rd Unit 1301, Mansfield, TX 76063-8725 | 2020-03-14 |
| 1245865823 | Brandon Krinock | Physical Therapist | 12349 Metric Blvd Apt 1125, Austin, TX 78758-2537 | 2020-03-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.