Jason Thomas Berg, MSPT | |
1125 Forrest Ave Ste 101, Dover, DE 19904-3483 | |
(302) 735-4900 | |
(302) 735-4900 |
Full Name | Jason Thomas Berg |
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Gender | Male |
Speciality | Physical Therapist |
Location | 1125 Forrest Ave Ste 101, Dover, Delaware |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922374818 | NPI | - | NPPES |
PT27059 | Other | FL | PHYSICAL THERAPY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | J1-0014240 (Delaware) | Primary |
225100000X | Physical Therapist | PT 27059 (Florida) | Secondary |
Provider Name | Louis B. Coiro, Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1407833718 PECOS PAC ID: 9638060858 Enrollment ID: O20040324001190 |
Mailing Address | Practice Location Address |
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Jason Thomas Berg, MSPT 350 New Fidelity Ct, Garner, NC 27529-2665 Ph: (919) 258-2714 | Jason Thomas Berg, MSPT 1125 Forrest Ave Ste 101, Dover, DE 19904-3483 Ph: (302) 735-4900 |
Adrianne Greene, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1288 S Governors Ave, Dover, DE 19904 Phone: 302-677-0100 Fax: 302-677-0267 | |
Ms. Amy Kathryn Tullis, PT, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 97 Commerce Way, Suite 101, Dover, DE 19904 Phone: 302-734-8000 | |
Jihwan Jeong, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1288 S Governors Ave, Dover, DE 19904 Phone: 302-677-0100 | |
Kathy Tompkins, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 945 Forest St, Dover, DE 19904 Phone: 302-672-1500 | |
Christine Marie Reynolds, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1203 Walker Rd, Dover, DE 19904 Phone: 302-735-8800 | |
Katherine Marie Monahan, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1288 S Governors Ave, Dover, DE 19904 Phone: 302-677-0100 | |
Michael Scott Richards, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 Tuskegee Blvd, Dover, DE 19902 Phone: 302-677-2568 |