Individual provider Active NPI

Joseph W Bartoletti

  • Physical Therapist
  • Maple Grove, MN
National Provider Identifier
1316234271
Registry record updated Sep 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8787 Issued in MN
Practice address
9827 Maple Grove Pkwy N
Maple Grove, MN 55369-4491
Phone
(952) 993-1460
Fax
(952) 993-0116
NPI assigned
Jun 29, 2011
Last updated
Sep 30, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 8787 MN Primary

Addresses

Primary practice location

9827 Maple Grove Pkwy N
Maple Grove, MN 55369-4491

Mailing address

9827 Maple Grove Pkwy N
Maple Grove, MN 55369-4491
Phone (952) 993-1460

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

LicenseStateTypeSpecialty
8787MNMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317340800000",
    "number": "1316234271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9827 MAPLE GROVE PKWY N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694491",
            "telephone_number": "952-993-1460",
            "fax_number": "952-993-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9827 MAPLE GROVE PKWY N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694491",
            "telephone_number": "952-993-1460",
            "fax_number": "952-993-0116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTOLETTI",
        "first_name": "JOSEPH",
        "middle_name": "W",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-29",
        "last_updated": "2011-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "8787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Grove, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; 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.