KATHLEEN MARIE BERG (NPI# 1598071557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598071557 |
| Entity Type | Individual |
| Full Name | KATHLEEN MARIE BERG |
| Credential | DPT, MS, CSCS, FAFS |
| Practice Address |
3858 N Garden Center Way Suite 102 Boise ID 83703 |
| Mailing Address |
3858 N Garden Center Way Suite 102 Boise ID 83703-5008 |
| Practice Telephone | 2088301668 |
| Practice Fax Number | 2086203968 |
| Mailing Telephone | 2088301668 |
| Mailing Fax Number | 2086203968 |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2014-06-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT2717 | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215203641 | Kathleen Theresa Berg | Emergency Medicine | 4900 Mueller Blvd, Austin, TX 78723-3079 | 2012-03-29 |
| 1225299282 | Kathleen Joyce Berg | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2008-06-23 |
| Street Address |
3858 N GARDEN CENTER WAY SUITE 102 |
| City | BOISE |
| State | ID |
| Zip Code | 83703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295755403 | Gail M Eberharter Rankin | Family Medicine | 3858 N Garden Center Way, Suite 100, Boise, ID 83703-5008 | 2006-07-20 |
| 1225451073 | Steven Maier | Chiropractor | 3858 N Garden Center Way, Suite 101, Boise, ID 83703-5008 | 2014-01-30 |
| 1619316460 | Vitam Pllc | Physical Therapist | 3858 N Garden Center Way, Suite 102, Boise, ID 83703-5008 | 2013-06-14 |
| 1740524701 | Functional and Integrative Medicine of Idaho Pa | Family Medicine | 3858 N Garden Center Way, Suite 100, Boise, ID 83703-5008 | 2012-11-15 |
| 1588947360 | Nathan Allen Spangler | Chiropractor | 3858 N Garden Center Way, Suite 101, Boise, ID 83703-5008 | 2011-09-27 |
| 1699894477 | Karen M Callagy | Physician Assistant | 3858 N Garden Center Way, Suite 100, Boise, ID 83703-5008 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386203974 | Dylan Roy | Chiropractor | 5632 W State Street, Boise, ID 83703 | 2019-06-07 |
| 1124476858 | Tidwell Social Work Services and Consulting, Inc. | Community/Behavioral Health | 5999 W. State St., Boise, ID 83703 | 2016-06-03 |
| 1801251244 | Rebecca Lynn Cushing | Massage Therapist | 5909 W. State St, Boise, ID 83703 | 2015-12-30 |
| 1790181675 | Malinda Poe | Counselor | 4440 W Taft St, Boise, ID 83703 | 2014-11-05 |
| 1689079469 | Ashley Harker | Massage Therapist | 5909 W. State St., Boise, ID 83703 | 2014-10-23 |
| 1770987844 | Brick House Recovery | Counselor | 3663 N Lakeharbor Ln, Boise, ID 83703 | 2014-10-17 |
| 1033512538 | Ryan Warburton | Physical Therapist | 2999 N Lakeshore Lane, Ste 120, Boise, ID 83703 | 2014-09-29 |
| 1710386008 | Suzanne Iannaccone | Social Worker | 4090 W State St Ste 221, Boise, ID 83703 | 2014-08-22 |
| 1588092464 | Becky L. Marks | Social Worker | 3858 N. Garden Center Way, Suite 204, Boise, ID 83703 | 2013-10-31 |
| 1700219169 | Pohley Richey | Dietitian, Registered | 6052 W State Street, Boise, ID 83703 | 2013-08-20 |
| Find all providers in zip 83703 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124637095 | Rick Charles Loveland | Physical Therapist | 10390 W Sawtail St, Boise, ID 83714-9508 | 2020-07-27 |
| 1558979138 | Chloe Coleman | Physical Therapist | 1961 S Broadway Ave, Boise, ID 83706-4201 | 2020-07-20 |
| 1811512650 | Lauren Olivia Vangorp | Physical Therapist | 5418 N Eagle Rd Ste 170, Boise, ID 83713-0999 | 2020-06-08 |
| 1366089153 | Shelby Mcgibney | Physical Therapist | 1835 Wildwood St, Boise, ID 83713-5146 | 2019-11-29 |
| 1417441270 | James Liaw | Physical Therapist | 1109 W Myrtle St Ste 220, Boise, ID 83702-6975 | 2018-06-15 |
| 1720570997 | Ron Giles | Physical Therapist | 2999 N Lakeharbor Ln Ste 120, Boise, ID 83703-6291 | 2018-06-04 |
| 1841701976 | Pamela Brown | Physical Therapist | 2910 W Hazel St, Boise, ID 83703-5939 | 2017-10-16 |
| 1013436641 | Renew Manual Physical Therapy Pllc | Physical Therapist | 7444 W Saxton Dr # K101, Boise, ID 83714-1316 | 2017-09-14 |
| 1609391952 | Janice Lynette Fountain | Physical Therapist | 4110 N La Fontana Way, Boise, ID 83702-1559 | 2017-08-08 |
| 1134643885 | Ian David Tracy | Physical Therapist | 1175 E Parkcenter Blvd Ste 104, Boise, ID 83706-6752 | 2017-08-02 |
| Find all providers in BOISE | ||||
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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.