Active NPI
Gina Valenti Bernal, DPT, ATC
- Physical Therapist
- Langley, WA
National Provider Identifier
1104423276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT60888381
- Practice address
- 432 Third St
Langley, WA 98260 - Phone
- (360) 321-4434
- Fax
- (360) 321-4432
- NPI assigned
- Oct 2, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT60888381 | WA | Primary |
Addresses
Primary practice location
432 Third St
Langley, WA 98260
Mailing address
P.O. Box 260
Langley, WA 98260
Phone (360) 321-4434
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT60888381 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601596800000",
"number": "1104423276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 260",
"city": "LANGLEY",
"state": "WA",
"postal_code": "98260",
"telephone_number": "360-321-4434",
"fax_number": "360-321-4432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "432 THIRD ST",
"city": "LANGLEY",
"state": "WA",
"postal_code": "98260",
"telephone_number": "360-321-4434",
"fax_number": "360-321-4432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNAL",
"first_name": "GINA",
"middle_name": "VALENTI",
"credential": "DPT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-02",
"last_updated": "2020-10-02",
"certification_date": "2020-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60888381",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Langley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.