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

Brandon Berg, PTA

Individual provider Physical Therapy Assistant · NPI 1629828165

Brandon Berg, PTA is a Physical Therapy Assistant in Kennewick, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2024
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

4303 W 24th Ave
Kennewick, WA 99338-1963
Phone: (509) 572-3836
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 3156-19 (WA)

Record details

NPI number1629828165
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedMarch 26, 2024
Last updated in NPPESMarch 26, 2024
Certification dateMarch 26, 2024
Mailing address655 S Willow St, Manchester, NH 03103-5714

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