Individual provider Active NPI

James Russell Bard, DPT

  • Physical Therapist
  • Tampa, FL
National Provider Identifier
1467977264
Registry record updated Mar 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT32796 Issued in FL
Practice address
1501 W Cleveland St Ste 220
Tampa, FL 33606-1812
Phone
(810) 581-3805
Fax
(844) 757-3728
NPI assigned
Aug 14, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2023

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 PT32796 FL Primary

Addresses

Primary practice location

1501 W Cleveland St Ste 220
Tampa, FL 33606-1812

Mailing address

3434 Skysail PL
Tampa, FL 33607-5828
Phone (717) 283-9269

Other identifiers 1

IdentifierTypeStateIssuer
PT32796OtherFLFLORIDA STATE PHYSICAL THERAPY LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170916000386 FL Practitioner - Physical Therapist in Private Practice 6305110263 Reassigns benefits to 1 organization
I20230712002711 PA Practitioner - Physical Therapist in Private Practice 6305110263 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Next Level Spine and Sports Injury Center LLCGroup PAC ID 2961640834, 16 clinicians

Practice addresses (Care Compare)

439 Washington Rd
Pittsburgh, PA 15228-2802
Phone (724) 719-2900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT32796FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Erb Physical Therapy P.C. Physical Therapist CurrentSince Jul 10, 2023 Accepting new patients
Pennsylvania Luna Care Physical Therapy LLC Physical Therapist CurrentSince Jun 22, 2023 Accepting new patients
Next Level Spine and Sports Injury Center, LLC CurrentSince Jul 29, 2024 Accepting new patients
Optimal Performance and Physical Therapies Hyde Park LLC Physical Therapist CurrentSince Jan 18, 2018 Accepting new patients
Greater Pittsburgh Surgical Alliance PC PastSince Jul 29, 2024 Accepting new patients

Locations

21756 State Road 54
Ste 102
Lutz, FL 33549
Phone (813) 279-6234

1501 W Cleveland St
Ste 220
Tampa, FL 33606
Phone (813) 805-8105

300 Welsh Rd
Bldg 1
Horsham, PA 19044

1002 Emeryville Rd
Mars, PA 16046
Phone (412) 914-8008

439 Washington Rd
Pittsburgh, PA 15228
Phone (724) 719-2900

3600 Saw Mill Run Blvd
Pittsburgh, PA 15227
Phone (412) 882-4140

2908 Smallman St
Pittsburgh, PA 15201
Phone (724) 719-2900

2605 Nicholson Rd
Ste 3120
Sewickley, PA 15143
Phone (724) 719-2900

2402 Nicholson Rd
Ste 103
Sewickley, PA 15143
Phone (724) 719-2900

Organizations & group practices 5

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": "1502668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678579200000",
    "number": "1467977264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3434 SKYSAIL PL",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336075828",
            "telephone_number": "717-283-9269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 W CLEVELAND ST STE 220",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336061812",
            "telephone_number": "810-581-3805",
            "fax_number": "844-757-3728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARD",
        "first_name": "JAMES",
        "middle_name": "RUSSELL",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-14",
        "last_updated": "2023-03-12",
        "certification_date": "2023-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT32796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA STATE PHYSICAL THERAPY LICENSE",
            "identifier": "PT32796",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2023; 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.