| Bergomy Jeannis, DPT | |
|
15 Pearson Ave Apt 2, Somerville, MA 02144-2305 | |
| (617) 501-1969 | |
| Not Available |
| Full Name | Bergomy Jeannis |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 7 Years |
| Location | 15 Pearson Ave Apt 2, Somerville, Massachusetts |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659939288 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 224229 (Massachusetts) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advance Physical Therapy And Sport Rehab | 2668535089 | 3 |
| Massachusetts Luna Care Physical Therapy Llc | 8628468998 | 25 |
| Provider Name | Advance Physical Therapy & Sport Rehab |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1417163817 PECOS PAC ID: 2668535089 Enrollment ID: O20090112000541 |
| Provider Name | Massachusetts Luna Care Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1427713742 PECOS PAC ID: 8628468998 Enrollment ID: O20211130001099 |
| Mailing Address | Practice Location Address |
|---|---|
| Bergomy Jeannis, DPT 15 Pearson Ave Apt 2, Somerville, MA 02144-2305 Ph: (617) 501-1969 | Bergomy Jeannis, DPT 15 Pearson Ave Apt 2, Somerville, MA 02144-2305 Ph: (617) 501-1969 |
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