Ismael Bermudo Jr.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT21566 Issued in CA

Practice address

3899 Cape Royal St
Las Vegas, NV 89147-6578

Phone

(323) 573-4430

NPI assigned

Mar 26, 2014

Last updated

Mar 26, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

West Point Physical Therapy Center, IncGroup PAC ID 2163310426, 5 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• West Point Physical Therapy Center, Inc

  • Occupational Therapist
  • Palmdale, CA
  • NPI 1194807941

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395792000000",
    "number": "1528485646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3899 CAPE ROYAL ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891476578",
            "telephone_number": "323-573-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3899 CAPE ROYAL ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891476578",
            "telephone_number": "323-573-4430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMUDO",
        "first_name": "ISMAEL",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-26",
        "last_updated": "2014-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT21566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nykia Belle Bermudez
• Rosa E Bermudez, MT
• Shanielen Bermudez
• Silma Esvieta Bermudez
• Virginia Elizabeth Bermudez
• Mirna G Bernabe, LMFTI, CADCI
• Zorah Cosue Bernabe, RPH
• Otto Bernabel Garcia
• Jorge Luis Bernal Blanco
• Manuel Bernal Mejia, MD

• Physical Therapist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Physical Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; 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.