Individual provider Active NPI

William Bernaldo, PT, DPT

  • Neurology Physical Therapist
  • San Diego, CA
National Provider Identifier
1154964245
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology Physical TherapistTaxonomy code 2251N0400X
License
291772 Issued in CA
Practice address
8996 Miramar Rd Ste 301
San Diego, CA 92126-4463
Phone
(760) 688-0127
NPI assigned
Oct 22, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physical Therapist 2251N0400X 291772 CA Primary

Addresses

Primary practice location

8996 Miramar Rd Ste 301
San Diego, CA 92126-4463

Mailing address

8996 Miramar Rd Ste 301
San Diego, CA 92126-4463
Phone (760) 688-0127

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241030000417 CA Practitioner - Physical Therapist in Private Practice 8022541309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empower NeurorehabGroup PAC ID 5496288771, 8 clinicians

Practice addresses (Care Compare)

8996 Miramar Rd
Suite 301
San Diego, CA 92126-4463
Phone (760) 688-0601

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Empower Neurorehab Neurology CurrentSince Aug 28, 2024 Accepting new patients
Learning Services Corporation PastSince Oct 1, 2019 Accepting new patients

Locations

8996 Miramar Rd
Ste 301
San Diego, CA 92126
Phone (760) 688-0601

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1154964245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8996 MIRAMAR RD STE 301",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264463",
            "telephone_number": "760-688-0127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8996 MIRAMAR RD STE 301",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264463",
            "telephone_number": "760-688-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNALDO",
        "first_name": "WILLIAM",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-22",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "CA",
            "license": "291772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.