Provider Demographics
NPI:1275529406
Name:BERKEY, STEVEN LAWRENCE (DPT)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:LAWRENCE
Last Name:BERKEY
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:504 ALBEMARLE SQ
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22901-7405
Mailing Address - Country:US
Mailing Address - Phone:434-817-7848
Mailing Address - Fax:434-951-2194
Practice Address - Street 1:1543 BEECH GROVE RD
Practice Address - Street 2:
Practice Address - City:ROSELAND
Practice Address - State:VA
Practice Address - Zip Code:22967-2213
Practice Address - Country:US
Practice Address - Phone:434-361-2650
Practice Address - Fax:434-361-2511
Is Sole Proprietor?:No
Enumeration Date:2005-09-22
Last Update Date:2016-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305203892225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA182496OtherANTHEM
VAK342-0017OtherCAREFIRST BC/BS
VA008535T67Medicare PIN
VA182496OtherANTHEM