Individual provider Active NPI

Paul Bernard, PT, DPT

  • Physical Therapist
  • Thornton, CO
National Provider Identifier
1356832356
Registry record updated Jul 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0015587 Issued in CO
Practice address
12720 Colorado Blvd Unit H
Thornton, CO 80241-2823
Phone
(720) 600-0370
Fax
(720) 600-0374
NPI assigned
May 24, 2018
Last updated
Jul 30, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2022

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 PTL.0015587 CO Primary

Addresses

Primary practice location

12720 Colorado Blvd Unit H
Thornton, CO 80241-2823

Mailing address

11169 E I25 Frontage Rd
Firestone, CO 80504-5276
Phone (720) 600-0370

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180626000443 CO Practitioner - Physical Therapist in Private Practice 4880949296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integral Physical Therapy PLLCGroup PAC ID 5294025433, 41 clinicians

Practice addresses (Care Compare)

12720 Colorado Blvd
Unit H
Thornton, CO 80241-2823
Phone (720) 600-0370

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0015587COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Integral Physical Therapy LLC Physical Therapist CurrentSince May 30, 2018 Accepting new patients

Locations

671 Mitchell Way
Ste 208
Erie, CO 80516
Phone 72060003701

11169 E I25 Frontage Rd
Ste C
Firestone, CO 80504
Phone 72060003701

12720 Colorado Blvd
Unit H
Thornton, CO 80241

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659139200000",
    "number": "1356832356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11169 E I25 FRONTAGE RD",
            "city": "FIRESTONE",
            "state": "CO",
            "postal_code": "805045276",
            "telephone_number": "720-600-0370",
            "fax_number": "720-600-0374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12720 COLORADO BLVD UNIT H",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802412823",
            "telephone_number": "720-600-0370",
            "fax_number": "720-600-0374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNARD",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-24",
        "last_updated": "2022-07-30",
        "certification_date": "2022-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0015587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

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