Active NPI
Dustin Bernard, PT, BS, DPT
- Physical Therapist
- Salem, OR
National Provider Identifier
1558851352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- CP046680T
- Practice address
- 820 Cottage St NE
Salem, OR 97301-2426 - Phone
- (503) 399-1135
- NPI assigned
- May 16, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 62702 | OR | |
| Physical Therapist | 225100000X | CP046680T | NH | Primary |
Addresses
Primary practice location
820 Cottage St NE
Salem, OR 97301-2426
Mailing address
712 Rue de Lion
New Iberia, LA 70563-2110
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
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP046680T | NH | MD | Physical Therapist |
| 62702 | OR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753833600000",
"number": "1558851352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "712 RUE DE LION",
"city": "NEW IBERIA",
"state": "LA",
"postal_code": "705632110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 COTTAGE ST NE",
"city": "SALEM",
"state": "OR",
"postal_code": "973012426",
"telephone_number": "503-399-1135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNARD",
"first_name": "DUSTIN",
"name_prefix": "Dr.",
"credential": "PT, BS, DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-05-16",
"last_updated": "2025-07-30",
"certification_date": "2025-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "62702",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NH",
"license": "CP046680T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.