Active NPI
Bernard Patopaten Bachoco, RPT
- Geriatric Physical Therapist
- Lakeland, FL
National Provider Identifier
1497988034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- 23616
- Practice address
- 4240 Lakeland Highlands Road
Lakeland, FL 33813 - Phone
- (863) 607-5948
- NPI assigned
- Aug 31, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | 23616 | FL | Primary |
Addresses
Primary practice location
4240 Lakeland Highlands Road
Lakeland, FL 33813
Mailing address
4240 Lakeland Highlands Road
Lakeland, FL 33813
Phone (863) 607-5948
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23616 | FL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251676800000",
"number": "1497988034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4240 LAKELAND HIGHLANDS ROAD",
"city": "LAKELAND",
"state": "FL",
"postal_code": "33813",
"telephone_number": "863-607-5948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4240 LAKELAND HIGHLANDS ROAD",
"city": "LAKELAND",
"state": "FL",
"postal_code": "33813",
"telephone_number": "863-607-5948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACHOCO",
"first_name": "BERNARD",
"middle_name": "PATOPATEN",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-31",
"last_updated": "2009-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "FL",
"license": "23616",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.