Mr. Frederick W Berggren Jr., PTA, ATC
Physical Therapy Assistant in Groton, Connecticut
1245350537- Practice location
- 495 Gold Star Hwy, Suite112, Groton, CT 06340-6228
- Phone
- 860-446-8254
- Fax
- 860-446-8293
- Last updated
- November 23, 2010
Frederick William Berggren is a Physical Therapy Assistant based in Groton, CT. Frederick William Berggren practices in Groton, CT and has the professional credentials of PTA, ATC. The NPI Number for Frederick William Berggren is 1245350537 and holds a License No. 000393 (CT). The current practice location address for Frederick William Berggren is 495 Gold Star Hwy, Suite112, Groton, CT 06340-6228 and can be reached out via phone at 860-446-8254 and via fax at 860-446-8293.
Provider Profile Details
- NPI Number
- 1245350537
- Provider Name
- Frederick William Berggren
- Credential
- PTA, ATC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 495 Gold Star Hwy, Suite112, Groton, CT 06340-6228
- Phone Number
- 860-446-8254
- Fax Number
- 860-446-8293
- Primary Taxonomy
- Physical Therapy Assistant · 225200000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 30, 2007
- Last Update Date
- November 23, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 495 Gold Star Hwy
Suite112
Groton, CT 06340-6228 - City
- Groton
- State
- Connecticut
- Zip
- 06340-6228
- Phone Number
- 860-446-8254
- Fax Number
- 860-446-8293
Provider Business Mailing Address Details
- Address
- 21 Ridge RD
Po Box 3457
Groton, CT 06340-8928 - City
- Groton
- State
- CT
- Zip
- 06340-8928
- Phone Number
- 860-536-8675
License Information
- License Number (1)
- 000393
- License State (1)
- CT
- Taxonomy (1)
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- License Number (2)
- 1133
- License State (2)
- CT
- Taxonomy (2)
- Physical Therapy Assistant · 225200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Mr. Frederick W Berggren Jr., PTA, ATC?
The NPI number of Mr. Frederick W Berggren Jr., PTA, ATC is 1245350537. It was assigned on March 30, 2007 and is currently active in the NPPES registry.
What is the specialty of Mr. Frederick W Berggren Jr., PTA, ATC?
Mr. Frederick W Berggren Jr., PTA, ATC is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in CT under license number 000393.
Where does Mr. Frederick W Berggren Jr., PTA, ATC practice?
The practice location is 495 Gold Star Hwy, Suite112, Groton, CT 06340-6228. The office can be reached at 860-446-8254 (phone) or 860-446-8293 (fax).
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 1245350537 directly on the NPPES registry website.