Active NPIIndividual provider

Mrs. Amy J Bergstrom, PT

Physical Therapist in Burlington Township, New Jersey

NPI Number1265565204
Practice location
902 Jacksonville RD, Burlington Township, NJ 08016-3814
Fax
—
Last updated
July 8, 2007

Amy Jane Bergstrom is a Physical Therapist based in Burlington Township, NJ. Amy Jane Bergstrom practices in Burlington Township, NJ and has the professional credentials of PT. The NPI Number for Amy Jane Bergstrom is 1265565204 and holds a License No. qa00588200 (NJ). The current practice location address for Amy Jane Bergstrom is 902 Jacksonville RD, Burlington Township, NJ 08016-3814 and can be reached out via phone at 609-239-3894.

Provider Profile Details

NPI Number
1265565204
Provider Name
Amy Jane Bergstrom
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
902 Jacksonville RD, Burlington Township, NJ 08016-3814
Phone Number
609-239-3894
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
March 13, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
902 Jacksonville RD
Burlington Township, NJ 08016-3814
Zip
08016-3814
Phone Number
609-239-3894
Burlington Township, NJ 08016Get directions →

Provider Business Mailing Address Details

Address
267 Birch Hollow Dr
Bordentown, NJ 08505-4260
City
Bordentown
State
NJ
Zip
08505-4260
Phone Number
609-499-0371

License Information

License Number
qa00588200
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 Mrs. Amy J Bergstrom, PT?

The NPI number of Mrs. Amy J Bergstrom, PT is 1265565204. It was assigned on March 13, 2007 and is currently active in the NPPES registry.

What is the specialty of Mrs. Amy J Bergstrom, PT?

Mrs. Amy J Bergstrom, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number qa00588200.

Where does Mrs. Amy J Bergstrom, PT practice?

The practice location is 902 Jacksonville RD, Burlington Township, NJ 08016-3814. The office can be reached at 609-239-3894 (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 1265565204 directly on the NPPES registry website.

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