Individual provider Active NPI

Chad Barthelemy, PT

  • Physical Therapist
  • Monticello, MN
National Provider Identifier
1629009154
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6600 Issued in MN
Practice address
135 Sandberg Rd
Monticello, MN 55362
Phone
(763) 295-3355
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 6600 MN Primary

Addresses

Primary practice location

135 Sandberg Rd
Monticello, MN 55362

Mailing address

PO Box 2298
Saint Cloud, MN 56302-2298
Phone (320) 203-9045

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
6600MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Big Lake Spine & Sport, PA PastSince Oct 15, 2007 Accepting new patients
Integrated Care Clinics, PA Physical Therapist PastSince Jul 22, 2015 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629009154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2298",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563022298",
            "telephone_number": "320-203-9045",
            "fax_number": "320-203-9539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 SANDBERG RD",
            "city": "MONTICELLO",
            "state": "MN",
            "postal_code": "55362",
            "telephone_number": "763-295-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTHELEMY",
        "first_name": "CHAD",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "6600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.