NPI 1609916014 · live from the CMS NPI Registry
Annette Louise Bergeron, PT
Physical Therapist, Orthopedic in Clarksville, MD. National Provider Identifier 1609916014, active.
NPI record
| NPI | 1609916014 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist, Orthopedic 2251X0800X |
| Practice location | 6541 Haviland Mill Rd, Clarksville, MD 21029 |
| Practice phone | 301-854-3711 |
| Mailing address | 6900 Georgia Ave Nw, Washington, DC 20307 |
| Enumerated | February 7, 2007 |
| Last updated | September 11, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist, Orthopedic primary | 2251X0800X | 8219 (MA) |
| Contractor | 171W00000X | 8219 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.