Jonathan Robert Bernhardt, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10623 Issued in WI

Practice address

7300 Washington Ave Ste B
Mount Pleasant, WI 53406-6525

Phone

(262) 321-6000

NPI assigned

Jul 27, 2022

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 27, 2022.

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1174259642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8059 61ST AVE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531421839",
            "telephone_number": "262-995-4158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 WASHINGTON AVE STE B",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534066525",
            "telephone_number": "262-321-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNHARDT",
        "first_name": "JONATHAN",
        "middle_name": "ROBERT",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-27",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "10623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah R Beier-Abdelmawgoud, LAC
• Sarah Belli, PTA
• Nicole Bergevain
• Eileen Mary Berglund, D.C., LPC
• Alexandra Beris, M.D.
• Beta Diagnostic Labs LLC
• Beta One Health LLC
• Sanaa Bhimji, DMD
• Karla J Bidstrup, LCSW
• Diane L. Billmyer, P.A.

• All providers in Mount Pleasant, WI
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.