Active NPIIndividual provider

Ty Berven

Physical Therapist in Dorchester, Massachusetts

NPI Number1487029757
Practice location
960 Morrissey Blvd, Dorchester, MA 02122-3206
Fax
—
Last updated
December 11, 2015

Ty Berven is a Physical Therapist based in Dorchester, MA. Ty Berven practices in Dorchester, MA. The NPI Number for Ty Berven is 1487029757 and holds a License No. 21712 (MA). The current practice location address for Ty Berven is 960 Morrissey Blvd, Dorchester, MA 02122-3206 and can be reached out via phone at 617-506-7210.

Provider Profile Details

NPI Number
1487029757
Provider Name
Ty Berven
Provider Entity Type
Individual
Gender
Male
Address
960 Morrissey Blvd, Dorchester, MA 02122-3206
Phone Number
617-506-7210
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
December 11, 2015
Last Update Date
December 11, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
960 Morrissey Blvd
Dorchester, MA 02122-3206
Zip
02122-3206
Phone Number
617-506-7210
Dorchester, MA 02122Get directions →

Provider Business Mailing Address Details

Address
960 Morrissey Blvd
Dorchester, MA 02122-3206
City
Dorchester
State
MA
Zip
02122-3206
Phone Number
617-506-7210

License Information

License Number
21712
License State
MA
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 Ty Berven?

The NPI number of Ty Berven is 1487029757. It was assigned on December 11, 2015 and is currently active in the NPPES registry.

What is the specialty of Ty Berven?

Ty Berven is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MA under license number 21712.

Where does Ty Berven practice?

The practice location is 960 Morrissey Blvd, Dorchester, MA 02122-3206. The office can be reached at 617-506-7210 (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 1487029757 directly on the NPPES registry website.

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