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

Jeremy Scott Berry, PTA

Individual provider Physical Therapy Assistant · NPI 1124716444

Jeremy Scott Berry, PTA is a Physical Therapy Assistant in Trinidad, Colorado. Licensed in Colorado. Registered with an NPI since 2023.

Licensed in
CO
In the registry since
2023
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

409 Benedicta Ave
Trinidad, CO 81082
Phone: (719) 846-9291
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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 0014693 (CO)

Record details

NPI number1124716444
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedApril 25, 2023
Last updated in NPPESApril 25, 2023
Certification dateApril 25, 2023

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