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

Individual provider Physical Therapist · NPI 1760995690

Mimi Claire Bergman, DPT is a Physical Therapist in Lake Forest, Illinois. Practices as a sole proprietor and works from 2 locations. Licensed in Illinois and New York.

Licensed in
IL, NY
In the registry since
2017
Specialties on file
3
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1200 N Westmoreland Rd
Lake Forest, IL 60045-1601
Phone: (847) 535-8022
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 22 W 48th St Fl 15, New York, NY 10036-1803 — (212) 302-1112

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070.026635 (IL)
Physical Therapist Taxonomy 225100000X · Licence 042623 (NY)
Physical Therapy Clinic/Center Taxonomy 261QP2000X · Licence 042623 (NY)

Record details

NPI number1760995690
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorYes
NPI enumeratedNovember 14, 2017
Last updated in NPPESAugust 29, 2022
Certification dateAugust 29, 2022

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