# MR. PAUL ROBERT BERRY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1528045176
- **Gender:** Man
- **Credential:** P.T.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 001915 | CT | Yes |

## Other

- **Enumeration date:** 12/26/2005
- **Last updated:** 12/10/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0019501 | AETNA ORTHONET | CT |
| 01 | — | 041801 | HEALTHNET | CT |
| 01 | — | 0565313 | AETNA | — |
| 01 | — | 080001915CT02 | ANTHEM BLUE CROSS &BLUE S | CT |
| 01 | — | 0Q774710 | EMPIRE BLUE CROSS BLUE SH | — |
| 01 | — | 104823000 | DOL FECA | — |
| 01 | — | 19501 | CIGNA ORTHONET | — |
| 01 | — | 207806 | WELLCARE | — |
| 01 | — | ZS968 | OXFORD HEALTH PLANS | CT |