DIANA L BERGBAUER (NPI# 1063758969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063758969 |
| Entity Type | Individual |
| Full Name | DIANA L BERGBAUER |
| Credential | PT |
| Practice Address |
209 Martins Ln Media PA 19063-5854 |
| Practice Telephone | 6106535190 |
| Mailing Telephone | 6106535190 |
| Enumeration Date | 2012-12-20 |
| Last Update Date | 2012-12-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
PT002558E | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
209 MARTINS LN |
| City | MEDIA |
| State | PA |
| Zip Code | 19063-5854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538766837 | Kimberly Ann Martyn | Nurse Practitioner | 168 W Baltimore Pike, Media, PA 19063 | 2020-10-08 |
| 1366060220 | Yinka Read | Clinical Neuropsychologist | 1088 W. Baltimore Pike, Healthcare II, Suite 2205, Media, PA 19063 | 2020-07-08 |
| 1306304522 | Caroline Dickerson | Speech-Language Pathologist | 510 Williamson Cir, Media, PA 19063 | 2019-03-06 |
| 1528544178 | Dayeon Cho | Nurse Practitioner | 1400 North Providence Road, Suite 1020, Rose Tree Corporate Center, Building 2, Media, PA 19063 | 2018-07-17 |
| 1235621400 | Joseph Savukinas | Registered Nurse | Mirmont Treatment Center, 100 Yearsley Mill Rd, Media, PA 19063 | 2018-06-04 |
| 1003331281 | Accredited Environmental Technologies, Inc. | Contractor | 28 N. Pennell Road, Media, PA 19063 | 2017-08-08 |
| 1538684220 | Holcomb Associates Inc. | Clinic/Center | 126 East Baltimore Pike, Gayley Square, Media, PA 19063 | 2017-08-03 |
| 1619498334 | Bryan Allen Mizell | Specialist/Technologist | 324 Crestview Circle, Media, PA 19063 | 2017-07-03 |
| 1427597970 | Grow Now Therapy Services LLC. | Speech-Language Pathologist | 600 N Jackson Street, Media, PA 19063 | 2017-02-16 |
| 1720520216 | Kathryn Rauch | Counselor | 107 Chesley Drive Unit #5, Media, PA 19063 | 2016-11-15 |
| Find all providers in zip 19063 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962822379 | Mary Elizabeth Crawford | Physical Therapist | 25 Calabrese Dr, Media, PA 19063-1300 | 2014-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164038105 | Kaitlyn Elizabeth Stoltz | Physical Therapist | 3 Jason Ct, Avondale, PA 19311-9734 | 2020-09-16 |
| 1902419146 | Jason Anthony Chippich | Physical Therapist | 171 Sheldon Ave, Pittsburgh, PA 15220-2638 | 2020-08-27 |
| 1023634128 | Growing Roots Pediatric Therapy | Physical Therapist | 169 Scott Ln, Venetia, PA 15367-1115 | 2020-06-24 |
| 1366092413 | Francine Seloi Mathis | Physical Therapist | 7064 Veronica Rd, Upper Darby, PA 19082-4111 | 2019-09-19 |
| 1588120083 | Lauren Ashley Mccullion | Physical Therapist | 2045 E Lizard Creek Rd, Lehighton, PA 18235-3720 | 2019-02-20 |
| 1629585104 | Kristine Daniels | Physical Therapist | 2271 Mcarthur Dr, Hatfield, PA 19440-3561 | 2018-01-05 |
| 1518476019 | Creative Solutions Therapy LLC | Physical Therapist | 2409 Beechtree Rd, Falls Creek, PA 15840-3807 | 2017-09-27 |
| 1255850095 | Paige Mary Fuller | Physical Therapist | 224 Rimmey Rd, Centre Hall, PA 16828-9217 | 2017-09-13 |
| 1780126961 | Alyssa Wennin | Physical Therapist | 1938 Bucktail Rd, Saint Marys, PA 15857-3224 | 2016-11-05 |
| 1811449960 | Cynthia Theresa Fehrle | Physical Therapist | 1113 Tremont Dr, Glenolden, PA 19036-1522 | 2016-10-25 |
| 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.