P Praxis·MD
● Active Type 1 · Individual

Katherine Mariah Berglund, MAT, ATC, LAT

Specialist/Technologist·Idaho Falls, ID· NPI 1679069595 · Enumerated 2018 · 7 years on NPI
Berglund is 1 of 9 specialist/technologist providers in Idaho Falls and 1 of 326 in Idaho.
NPI age
7 years
Enumerated 2018-07-03
Primary specialty
Specialist/Technologist
Plus 2 subspecialties
Licensed in
ID, ND
2 states
Status
Active
No deactivations on record
Last NPPES update
2022-09-21
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 326 active specialist/technologist providers in Idaho.

NPI age
7 years
≈ at median (8 yr)
State licenses
2 states
Top 95% — 4% of peers are multi-state
Subspecialties
0
10% of peers hold subspecialties

NPI lifetime · 2018 → 2026

2018-07Enumerated in NPPES
2018 2026

Where they practice

Practice location
3302 Valencia Dr
Idaho Falls, ID 834047058
📞 2083522584
Mailing address
3302 Valencia Dr
Idaho Falls, ID 834047058
📞 2083522584

Specialties

  • Specialist/Technologist Primary
    Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently,...
    ID license #AT-776ND license #884-20 taxonomy 2255A2300X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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