IndividualActive
Diana Bergbauer, PT
NPI 1063758969 · Pediatric Physical Therapist · Media, PA
Provider details
- NPI number
- 1063758969
- Entity type
- Individual
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Female
- Sole proprietor
- Yes
- License
- PT002558E (PA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
209 Martins Ln
Media, PA 19063-5854
Phone: (610) 653-5190
Approximate (ZIP-level) locationGet directions
Mailing address
209 Martins Ln
Media, PA 19063-5854
Registry dates
- Enumerated
- 2012-12-20
- Last updated
- 2012-12-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.