Bernard August Van Batum, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0004904 Issued in CO

Practice address

5426 N Academy Blvd Ste 200
Colorado Springs, CO 80918-3687

Phone

(719) 532-1100

Fax

(719) 532-1109

NPI assigned

Oct 17, 2012

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Benefit Therapy P.C.

  • Home Health Agency
  • Colorado Springs, CO
  • NPI 1710625322
  NPD Authorized official

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1629321476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5426 N ACADEMY BLVD STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809183687",
            "telephone_number": "719-532-1100",
            "fax_number": "719-532-1109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5426 N ACADEMY BLVD STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809183687",
            "telephone_number": "719-532-1100",
            "fax_number": "719-532-1109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN BATUM",
        "first_name": "BERNARD",
        "middle_name": "AUGUST",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-17",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0004904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sydney Lauren Van Acker
• Halei Van Auken
• Susan Van Bemden
• Hannah Van Dam
• Christie-Lee Rebecca Van Damme
• Brianna Lynne Van de Casteele, LAT, ATC
• Adam Presley Van Dinter

• Physical Therapist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; 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.