Beth Stedman Bruner, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTL0011940 Issued in CO

Practice address

1939 Wilmington Dr
Fort Collins, CO 80528-6404

Phone

(970) 377-1422

NPI assigned

Nov 25, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO, TX2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Momentum Physical Therapy PCGroup PAC ID 4183514797, 7 clinicians

Lincoln Physical Therapy and Sports Rehab LLCGroup PAC ID 9133438641, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Momentum Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Fort Collins, CO
  • NPI 1720094329
  Medicare reassignment Care Compare group NPD
• Lincoln Physical Therapy and Sports Rehab LLC

  • Physical Therapist
  • Georgetown, TX
  • NPI 1881347623
  Medicare reassignment Care Compare group NPD
• Momentum Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Greeley, CO
  • NPI 1306921739
  NPD (past)

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

{
    "created_epoch": "1353801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353801600000",
    "number": "1295079671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 OAK LEAF CT",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805259499",
            "telephone_number": "970-568-8730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1939 WILMINGTON DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805286404",
            "telephone_number": "970-377-1422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNER",
        "first_name": "BETH",
        "middle_name": "STEDMAN",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-25",
        "last_updated": "2012-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL0011940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce R. Belleville, MD, LLC
• Alan Bruce, RBT
• Ava Arax Brueckner, MA, LPCC
• Samantha Ann Bruick, B.S.
• Jaydan Bruna
• Tara Suzanne Brunin, CRNA
• Megan Brunner, LCSW, MSW
• Christopher Frank Bruno, MACP, LPC
• Elizabeth Beardsworth Brusaschetti, MD
• Paul T Brusaschetti, P.A.

• Physical Therapist in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2012; 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.