Active NPIIndividual provider

Shawn Berry, PT

Physical Therapist in Boonton, New Jersey

NPI Number1063295889
Practice location
315 Wootton Street, Units I And J, Boonton, NJ 07005
Fax
—
Last updated
August 15, 2023

Shawn Berry is a Physical Therapist based in Boonton, NJ. Shawn Berry practices in Boonton, NJ and has the professional credentials of PT. The NPI Number for Shawn Berry is 1063295889 and holds a License No. 40QA02179300 (NJ). The current practice location address for Shawn Berry is 315 Wootton Street, Units I And J, Boonton, NJ 07005 and can be reached out via phone at 973-794-6040.

Provider Profile Details

NPI Number
1063295889
Provider Name
Shawn Berry
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
315 Wootton Street, Units I And J, Boonton, NJ 07005
Phone Number
973-794-6040
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
August 15, 2023
Last Update Date
August 15, 2023
Certification Date
August 15, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
315 Wootton Street
Units I And J
Boonton, NJ 07005
Zip
07005
Phone Number
973-794-6040
Boonton, NJ 07005Get directions →

Provider Business Mailing Address Details

Address
315 Wootton Street
Units I And J
Boonton, NJ 07005
City
Boonton
State
NJ
Zip
07005

License Information

License Number
40QA02179300
License State
NJ
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Shawn Berry, PT?

The NPI number of Shawn Berry, PT is 1063295889. It was assigned on August 15, 2023 and is currently active in the NPPES registry.

What is the specialty of Shawn Berry, PT?

Shawn Berry, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA02179300.

Where does Shawn Berry, PT practice?

The practice location is 315 Wootton Street, Units I And J, Boonton, NJ 07005. The office can be reached at 973-794-6040 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063295889 directly on the NPPES registry website.

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