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KAITLYN BERREAU
NPI 1831021807
Physical Therapist - Pediatrics in Fargo, ND

Active since June 02, 2026
4575 23RD AVE S, FARGO, ND 58104(701) 347-1782 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kaitlyn Berreau NPPES

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

KAITLYN BERREAU (NPI 1831021807) is an individual pediatrics provider in Fargo, North Dakota, licensed in North Dakota (2867) and active in the NPI registry since June 2026. She is a graduate of Other (2026).

NPPES Registry Identity

NPI1831021807
Entity TypeIndividualFemale
Primary Taxonomy2251P0200X
Provider Legal NameKAITLYN BERREAU
Location Address4575 23RD AVE SFargo, ND 58104-8783
Mailing Address5839 57th Ave SFargo, ND 58104-5699
Phone(701) 347-1782
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateJune 2, 2026
NPPES CertifiedJune 2, 2026
✔ NPI 1831021807 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 ND · 2867
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.
4575 23RD AVE S, Fargo, ND 58104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaitlyn Berreau is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4284108838
PECOS Enrollment IDI20260705000272

Medicare Billing Reassignment

Medicare enrollment records show Kaitlyn Berreau reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Myna Therapy Services PLLC
Same address
Multi-Specialty
4575 23RD AVE S STE 500
Fargo, ND 58104
  • Reassigned Medicare billing, North Dakota enrollment
  • 35 clinicians in this Medicare group
NPI 1427788629 (701) 347-1782

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ISABELLA GRACE CHRISTIANSON OTD, OTR/L
Occupational Therapist
4575 23RD AVE S, SUITE 400
FARGO, ND 58104
Cass County (701) 347-1782

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 Kaitlyn Berreau's NPI number?

The NPI number for Kaitlyn Berreau is 1831021807. It was assigned to this individual provider in the NPPES registry on June 2, 2026.

Where is Kaitlyn Berreau located?

Kaitlyn Berreau practices at 4575 23rd Ave S, Fargo, ND 58104. The listed phone number is (701) 347-1782.

What is Kaitlyn Berreau's specialty?

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

Is Kaitlyn Berreau enrolled in Medicare?

Yes. Kaitlyn Berreau is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kaitlyn Berreau's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kaitlyn Berreau reassigns Medicare benefits to Myna Therapy Services PLLC (Fargo, ND). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kaitlyn Berreau's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kaitlyn Berreau accept?

Health plans from Blue Cross Blue Shield of North Dakota list Kaitlyn Berreau as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kaitlyn Berreau was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.