KAITLYN BERGEN – Physical Therapist, NPI 1043176159

KAITLYN BERGEN is a healthcare provider. based in Millstone township, New Jersey. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 40QA02385100 (NJ). The NPI Number for KAITLYN BERGEN is 1043176159

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
KAITLYN BERGEN
NPI
1043176159
Phone
Not provided
Address
6 ROONEY CT
Enumeration Date
2 January 2026
Last Update Date
2 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9738046515
Graduation Year
2025 (1 year ago)
PAC ID
5799265328
Group Practice PAC ID
7214998038
Professional Enrollment ID
I20260213001296
Address ID
NJ077282526FR89XXXDRXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

4,923 PHYSICAL THERAPIST IN PRIVATE PRACTICE in NJ

Provider Addresses for KAITLYN BERGEN

  • 6 ROONEY CT

    MILLSTONE TOWNSHIP, NJ 085109413

    Phone:

    Type: Mailing

  • 89A VILLAGE CENTER DR

    FREEHOLD, NJ 077282526

    Phone: (973) 804-6515

    Type: Location

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: 2026-02-13

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
I20260213001296IPhysical Therapist In Private PracticeNJTBD

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 08510)

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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: 7214998038View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMD
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ

Reviews

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Frequently asked questions

What federal number belongs to KAITLYN BERGEN?
The federal identifier for KAITLYN BERGEN is NPI 1043176159.
Does this profile mean KAITLYN BERGEN is currently active?
Yes — KAITLYN BERGEN appears active in the national provider directory.
What field does KAITLYN BERGEN work in?
You can think of KAITLYN BERGEN as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
What location metadata exists for KAITLYN BERGEN?
The page summarizes Millstone Township, New Jersey for KAITLYN BERGEN; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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