CMS-1500 Box 24J / 33a • NPI
1629073135
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
225100000X (CMS 65)
Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist
Box 32 Service Location & ZIP+4
5889 RIVERSIDE DR, GREENDALE, WI, 53129-2817
✓ 9-Digit EDI 837 ZIP+4 (53129-2817)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1629073135 (PHILIP WILLIAM BERGOLD, PT) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1629073135)
Medicare Beneficiaries
31
Total Billed Services
1,811
Distinct CPT/HCPCS Codes
10
Medicare Allowed Total
$49,787.32
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 338 |
97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 509 |
97162 | Evaluation for physical therapy, typically 30 minutes | 23 |
97530 | Therapy procedure using functional activities | 821 |
97750 | Test or measurement for functional capacity, each 15 minutes | 62 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1629073135 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | PHILIP WILLIAM BERGOLD, PT |
| Plain-English Specialty | Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist NUCC Code: 225100000X (Physical Therapist) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 5889 RIVERSIDE DR, GREENDALE, WI, 53129-2817 |
| Practice Telephone / Fax | Tel: (414) 940-7278 | Fax: (414) 235-8448 |
| Administrative Mailing Address | PO BOX 370081, MILWAUKEE, WI, 53237-1181 |
| Enumeration & Last Sync | Enumerated: 2005-06-21 | CMS Record Updated: 2016-02-07 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
🗺️ Open in Google Maps 🏥 More Providers in GREENDALE
🔒 Are you PHILIP WILLIAM BERGOLD, PT? Get your Verified NPI Clinic Badge or request personal phone/address redaction →
Plain-English Taxonomy & CMS Crosswalk (225100000X)
What Does Taxonomy Code 225100000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 225100000X translates to:
"Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (PHILIP WILLIAM BERGOLD, PT)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
225100000X — Physical TherapistPlain English: Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist | State: WI | License: 5058 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.