CYNTHIA LOUISE BERG (NPI# 1902079320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902079320 |
| Entity Type | Individual |
| Full Name | CYNTHIA LOUISE BERG |
| Credential | P.T. |
| Practice Address |
9449 W Forest Home Ave Hales Corners WI 53130-1611 |
| Practice Telephone | 4145296888 |
| Practice Fax Number | 4145291271 |
| Enumeration Date | 2008-04-07 |
| Last Update Date | 2008-04-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
2767-024 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 40169200 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053654491 | Cynthia Jean Berg | Preventive Medicine | 1787 Council Bluff Dr Ne, Atlanta, GA 30345-4139 | 2013-04-04 |
| 1851499396 | Cynthia A Berg | Speech-Language Pathologist | 2822 S Alafaya Trl, Suite 170, Orlando, FL 32828-7969 | 2006-09-20 |
| Street Address |
9449 W FOREST HOME AVE |
| City | HALES CORNERS |
| State | WI |
| Zip Code | 53130-1611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003813569 | Regency Terrace South, Inc | Skilled Nursing Facility | 9449 W Forest Home Ave, Hales Corners, WI 53130-1611 | 2005-06-30 |
| 1124294574 | Judith Lynn Fecteau | Occupational Therapist | 9449 W Forest Home Ave, Hales Corners Care Center Rehab Dept., Hales Corners, WI 53130-1611 | 2008-05-06 |
| 1730353905 | Mary Beth Lynn Koski | Occupational Therapy Assistant | 9449 W Forest Home Ave, Hales Corners, WI 53130-1611 | 2008-04-17 |
| 1619141900 | Cheryl A. Kalupa | Physical Therapy Assistant | 9449 W Forest Home Ave, Hales Corners, WI 53130-1611 | 2008-04-17 |
| 1588838882 | Christine Maio | Occupational Therapist | 9449 W Forest Home Ave, Hales Corners, WI 53130-1611 | 2008-04-17 |
| 1851565253 | Elaine K. Lukas | Speech-Language Pathologist | 9449 W Forest Home Ave, Hales Corners, WI 53130-1611 | 2008-04-16 |
| 1336312586 | Linda Ann Buyan | Occupational Therapist | 9449 W Forest Home Ave, Hales Corners, WI 53130-1611 | 2008-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962995563 | Leo A Levesque IIi | Chiropractor | Chiro One Wellness Center of Hales Corners LLC, 5305 S 108th St, Hales Corners, WI 53130 | 2018-06-08 |
| 1730512286 | Rebecca Lynn Gnas | Chiropractor | 10731 W. Forest Home Avenue, Hales Corners, WI 53130 | 2013-08-19 |
| 1316097843 | Michael S. Kotkin | Psychologist | 9415 W. Forest Home Ave. Suite 104, Hales Corners, WI 53130 | 2007-01-10 |
| 1588713705 | Dennis Keith Wolf | Social Worker | 12065 W Janesville Road, Hales Corners, WI 53130 | 2007-01-09 |
| 1124186978 | Briar House Facility Lpc Briar I | Assisted Living Facility | 10133 W Brookside Dr, Hales Corner, WI 53130 | 2006-12-05 |
| 1598837171 | Gilbert Jerome Brickler | Dentist | 6080 South 108th St, Suite 111 Gilbert J Brickler Dds, Hales Corners, WI 53130 | 2006-11-15 |
| 1306957840 | Donald Allen Whitlock | Dentist | 11035 W. Forest Home Ave, #116, Hales Corners, WI 53130 | 2006-08-31 |
| 1528074309 | James C. Boudreau, Dpm, Sc | Podiatrist | 6191 S. 108th St., Hales Corners, WI 53130 | 2006-07-31 |
| 1912441437 | Katheryn Elizabeth Hurst | Physical Therapist | 5764 S 108th St, Hales Corners, WI 53130 | 2016-12-19 |
| 1417115700 | Richard Anthony Mueller | Dentist | 11801 W Janesville Rd, Hales Corners, WI 53130 | 2008-05-23 |
| Find all providers in zip 53130 | ||||
| Taxonomy Code | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396270559 | Tosha Wagner | Physical Therapist | 6315 Quarry Vista Dr Apt 225, Fitchburg, WI 53719-9102 | 2017-04-25 |
| 1194185330 | Lauren Pollpeter | Physical Therapist | N104w20831 Willow Creek Rd, Colgate, WI 53017-9501 | 2016-03-01 |
| 1205279817 | Megan Oeth | Physical Therapist | 5025 Spaanem Ave, Madison, WI 53716-2837 | 2013-04-12 |
| 1811230253 | Rajeshwari N Iyer | Physical Therapist | 2738 Park Place Ln Apt 39, Janesville, WI 53545-5267 | 2013-04-04 |
| 1902131931 | Richard Lewis | Physical Therapist | 6341 Johnston Dr, Two Rivers, WI 54241-9671 | 2009-10-08 |
| 1285868513 | Dennis Borja Miranda | Physical Therapist | 311 W Kalsched St, Apt. 209, Marshfield, WI 54449-1466 | 2009-05-14 |
| 1932342011 | Linda Kettner Tucker | Physical Therapist | 5000 Mequon Road, Mequon, WI 53092 | 2009-04-20 |
| 1093963019 | Jessica M. Hoinacki | Physical Therapist | W2342 Puchyan Rd, Berlin, WI 54923-9486 | 2008-09-03 |
| 1396912333 | Sherilyn Weinert | Physical Therapist | 18365 Harvest Ln, Brookfield, WI 53045-5446 | 2008-05-09 |
| 1417163551 | Katherine Ann Brewer | Physical Therapist | W289n6369 Blackhawk Dr, Hartland, WI 53029-9448 | 2007-05-15 |
| Find all providers with the same taxonomy | ||||
| City | HALES CORNERS |
| Zip Code | 53130 |
Please comment or provide details below to improve the information on CYNTHIA LOUISE BERG.
| 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.