Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bergen Butala

Individual provider Physical Therapist · NPI 1235505868

Bergen Butala is a Physical Therapist in Syracuse, New York. Licensed in New York. Registered with an NPI since 2015.

Licensed in
NY
In the registry since
2015

Practice location Address checks out

750 E Adams St
Syracuse, NY 13210-2306
Phone: (612) 801-1520
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 039190-1 (NY)

Record details

NPI number1235505868
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 18, 2015
Last updated in NPPESAugust 18, 2015
Mailing address210 W Division St Apt 40, Syracuse, NY 13204-1592

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