Prima Bernabe Bernabe, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

25254 Issued in CA

Practice address

11555 Scripps Lake Drive
San Diego, CA 92131

Phone

(858) 353-3800

Fax

(888) 353-3668

NPI assigned

Oct 4, 2006

Last updated

Jun 15, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Laprima Bernabe Wooters Former name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Therapeutic Hands Orthopedic Home Physical Therapy Inc

  • Specialist
  • San Diego, CA
  • NPI 1205966520

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465948800000",
    "number": "1669568374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5745 FRIARS RD",
            "address_2": "UNIT 106",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921101828",
            "telephone_number": "858-353-3800",
            "fax_number": "888-353-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11555 SCRIPPS LAKE DRIVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92131",
            "telephone_number": "858-353-3800",
            "fax_number": "888-353-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNABE",
        "first_name": "PRIMA",
        "middle_name": "BERNABE",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2016-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "25254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR",
            "identifier": "610787900",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ66632Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "2190632",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAPRIMA",
            "last_name": "WOOTERS",
            "middle_name": "BERNABE",
            "credential": "MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Zeelma Bermudez
• Carmelita Bermundo
• Bethani Ann Bernaba, M.D.
• Bob Naim Bernaba, M.D.
• Narae Lee Bernabe, LMFT
• Eleanore Clare Bernadas, M.D.
• Alex Bernadett, M.D.
• Bernadette B. Heid, Psy.D., a Professional Psychology Corporation
• Luis Andre Bernal Hernandez
• Rafael Ulises Bernal-Gonzalez

• Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.