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Shawn Michael Berry

NPI 1790977148ActiveIndividual· Physical Therapy Assistant· Bridgeport, NE

Physical Therapy Assistant in Bridgeport, Nebraska, licensed in NE, with an NPI issued in August 2007.

Overview

NPI1790977148
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedAug 9, 2007
Last updated in NPPESAug 9, 2007

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary225200000X751NE

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Physical Therapy Assistant providers in Bridgeport

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