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DIANA L BERGBAUER PT
NPI 1063758969
Physical Therapist - Pediatrics in Media, PA

Active since December 20, 2012
209 MARTINS LN, MEDIA, PA 19063(610) 653-5190 Get Directions Write a Review

NPPES record last updated: December 20, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Diana L Bergbauer Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIANA L BERGBAUER PT (NPI 1063758969) is an individual pediatrics provider in Media, Pennsylvania, licensed in Pennsylvania (PT002558E) and active in the NPI registry since December 2012.

NPPES Registry Identity

NPI1063758969
Entity TypeIndividualFemale
Primary Taxonomy2251P0200X
Provider Legal NameDIANA L BERGBAUERCredential: PT
Location Address209 MARTINS LNMedia, PA 19063-5854
Mailing Address209 Martins LnMedia, PA 19063-5854 · (610) 653-5190
Phone(610) 653-5190
Sole ProprietorYes
Enumeration DateDecember 20, 2012
✔ NPI 1063758969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License✔ Licensed in PA · PT002558E
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
209 MARTINS LN, Media, PA 19063
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diana Bergbauer's NPI number?

The NPI number for Diana Bergbauer is 1063758969. It was assigned to this individual provider in the NPPES registry on December 20, 2012.

Where is Diana Bergbauer located?

Diana Bergbauer practices at 209 Martins Ln, Media, PA 19063. The listed phone number is (610) 653-5190.

What is Diana Bergbauer's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

When was this NPI record last updated?

The NPPES record for Diana Bergbauer was last updated on December 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.