Johanna Thea Bergh, DPT
NPI 1477239580ActiveIndividual· Physical Therapist· St Louis Park, MN
Physical Therapist (DPT) in St Louis Park, Minnesota, licensed in MN, with an NPI issued in June 2023. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1477239580 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | No |
| NPI issued | Jun 23, 2023 |
| Last updated in NPPES | Jun 23, 2023 |
| Certified by provider | May 30, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 13141 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (MN) |
|---|
Other Physical Therapist providers in St Louis Park
- 1083978894
- 1578813911
- 1053219121
- 1710087622
- 1750458733
- 1124578935
- 1578639522
- 1700113982
- 1306521166
- 1992010425
- 1518044064
- 1336227891