MS. MARY BERGERON MENNA (PT) – Physical Therapist, NPI 1831166214

MS. MARY BERGERON MENNA (PT) is a healthcare provider. based in Lederach, Pennsylvania. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. PT001063E (PA). The NPI Number for MS. MARY BERGERON MENNA (PT) is 1831166214

Main info

Female
44 Years Of Experience
Accepts Medicare Assignment
Name
MS. MARY BERGERON MENNA (PT)
NPI
1831166214
Phone
(215) 256-1991
Address
PO Box
Enumeration Date
3 March 2006
Last Update Date
14 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2152561991
Graduation Year
1982 (44 years ago)
PAC ID
9739362914
Group Practice PAC ID
4880064369
Professional Enrollment ID
I20110325000041
Address ID
PA194382855HA703XXPIKE300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

4,280 PHYSICAL THERAPIST IN PRIVATE PRACTICE in PA

Provider Addresses for MS. MARY BERGERON MENNA (PT)

  • PO Box

    396

    Lederach, PA 19450

    Phone: (215) 256-1991

    Type: Location

  • 417 TAYLOR AVE

    NEWTOWN, PA 189401826

    Phone:

    Type: Mailing

  • 703 HARLEYSVILLE PIKE

    LEDERACH, PA 19450

    Phone: (215) 256-1991

    Type: Location

  • 1262 WOOD LN

    SUITE 102

    LANGHORNE, PA 190471769

    Phone: (215) 741-9315

    Type: Mailing

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: 2011-03-25

PECOS data refreshed: 2026-06-15

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
I20110325000041IPhysical Therapist In Private PracticePATBD

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 19450)

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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: 4880064369View full group profile
NameSpecialtyState
Physical Therapist In Private PracticePA

Reviews

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Frequently asked questions

What is the registry number for MS. MARY BERGERON MENNA (PT)?
The registry entry for MS. MARY BERGERON MENNA (PT) shows NPI 1831166214.
Is MS. MARY BERGERON MENNA (PT)'s NPI status active today?
Active status means MS. MARY BERGERON MENNA (PT)'s NPI record is not deactivated in the public file.
What type of care does MS. MARY BERGERON MENNA (PT) provide?
MS. MARY BERGERON MENNA (PT)'s profile centers on Physical Therapist. Clinical services aligned with this taxonomy classification.
Which community is linked to MS. MARY BERGERON MENNA (PT)?
MS. MARY BERGERON MENNA (PT) shows a connection to Lederach, Pennsylvania in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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