NPI 1679304976 · live from the CMS NPI Registry
Emma Rose Bergmann, PT, DPT
Physical Therapist in Lawton, OK. National Provider Identifier 1679304976, active.
NPI record
| NPI | 1679304976 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 1401 Sw Parkridge Blvd Ste A, Lawton, OK 73505 |
| Practice phone | 580-730-8015 |
| Enumerated | August 9, 2024 |
| Last updated | March 5, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | CP053739T (OK) |
| Physical Therapist | 225100000X | P23404 (NC) |
| Physical Therapist | 225100000X | 05016302A (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.