MS. BREANNA M BERG (DPT) – Physical Therapist, NPI 1861869018

MS. BREANNA M BERG (DPT) is a healthcare provider. based in Torrington, Connecticut. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 010575 (CT). The NPI Number for MS. BREANNA M BERG (DPT) is 1861869018

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
MS. BREANNA M BERG (DPT)
NPI
1861869018
Phone
(860) 489-0867
Address
30 PECK ROAD
Enumeration Date
24 August 2015
Last Update Date
24 August 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8604890867
Graduation Year
2015 (11 years ago)
PAC ID
6103135470
Group Practice PAC ID
0446284178
Professional Enrollment ID
I20151028000206
Address ID
CT067906123TO30XXXRDXX308
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,335 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CT

Provider Addresses for MS. BREANNA M BERG (DPT)

  • 30 PECK ROAD

    BUILDING #1; SUITE 1101

    TORRINGTON, CT 06790

    Phone: (860) 489-0867

    Fax: (860) 489-4473

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-10-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151028000206IPhysical Therapist In Private PracticeCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06790)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0446284178View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCT
-CT
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeRI
-CT
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeNY

Reviews

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Frequently asked questions

How do I look up MS. BREANNA M BERG (DPT) by NPI?
Use NPI 1861869018 when you need to reference MS. BREANNA M BERG (DPT) in forms, claims, or directories.
Is MS. BREANNA M BERG (DPT) active in the national directory?
MS. BREANNA M BERG (DPT)'s public NPI profile is in an active state.
What field does MS. BREANNA M BERG (DPT) work in?
You can think of MS. BREANNA M BERG (DPT) as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
Where does public data place MS. BREANNA M BERG (DPT)?
The snapshot lists Torrington, Connecticut for MS. BREANNA M BERG (DPT); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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