Active NPI
Bernard Paul Guth, P.T.
- Physical Therapist
- Superior, CO
National Provider Identifier
1649352931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4882
- Practice address
- 1507 S Vona CT
Superior, CO 80027-8022 - Phone
- (303) 494-9434
- Fax
- (303) 494-9826
- NPI assigned
- Oct 19, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4882 | CO | Primary |
Addresses
Primary practice location
1507 S Vona CT
Superior, CO 80027-8022
Mailing address
1507 S Vona CT
Superior, CO 80027-8022
Phone (303) 494-9434
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4882 | CO | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649352931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1507 S VONA CT",
"city": "SUPERIOR",
"state": "CO",
"postal_code": "800278022",
"telephone_number": "303-494-9434",
"fax_number": "303-494-9826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1507 S VONA CT",
"city": "SUPERIOR",
"state": "CO",
"postal_code": "800278022",
"telephone_number": "303-494-9434",
"fax_number": "303-494-9826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTH",
"first_name": "BERNARD",
"middle_name": "PAUL",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "4882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Superior, CO
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.