Provider Demographics
NPI:1396171880
Name:BERGER, SHIFRA SHEFI (PT DPT)
Entity type:Individual
Prefix:MRS
First Name:SHIFRA
Middle Name:SHEFI
Last Name:BERGER
Suffix:
Gender:F
Credentials:PT DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1476 NW 48TH LN
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-3342
Mailing Address - Country:US
Mailing Address - Phone:561-306-7966
Mailing Address - Fax:
Practice Address - Street 1:1427 S CONGRESS AVE BLDG B
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33406-5120
Practice Address - Country:US
Practice Address - Phone:561-296-9901
Practice Address - Fax:561-432-7269
Is Sole Proprietor?:No
Enumeration Date:2013-09-17
Last Update Date:2013-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT27066225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist