Active NPI
Andrew Steven Bernstetter
- Physical Therapist
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9434396-8016
- Practice address
- 590 S Wakara Way
Salt Lake City, UT 84108-1200 - Phone
- (801) 587-7109
- NPI assigned
- Jul 26, 2015
- Last updated
- Sep 25, 2015
- Sex
- Male
- Sole proprietor
- No
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 | 9434396-8016 | UT | Primary |
Addresses
Primary practice location
590 S Wakara Way
Salt Lake City, UT 84108-1200
Mailing address
127 S. 500 E.
Suite 600
Salt Lake City, UT 84102-1971
Phone (801) 587-6336
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15932 Redmond Way
Suite 102
Redmond, WA 98052-4060
Phone (425) 636-8369
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9434396-8016 | UT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Management Services, PLLC | Physical Therapist | Current | Accepting new patients |
| Therapy Management Services, PLLC | Physical Therapist | Current | Accepting new patients |
| Lake Washington Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
Locations
1299 156th Ave NE
Ste 125
Bellevue, WA 98007
Phone (206) 641-8481
814 DuPont St
Bellingham, WA 98225
Phone (360) 671-2900
15500 1st Ave S
Ste 106
Burien, WA 98148
Phone (206) 242-0855
209 Kirkland Ave
Kirkland, WA 98033
Phone (425) 629-3502
19217 36th Ave W
Ste 102
Lynnwood, WA 98036
Phone (425) 670-9991
15932 Redmond Way
Ste 102
Redmond, WA 98052
Phone (425) 636-8369
709 Cook Rd
Sedro Woolley, WA 98284
Phone (360) 873-8191
Organizations & group practices 3
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.
-
- Physical Therapy Clinic/Center
- Kirkland, WA
- NPI 1770894990
Physical Therapist
-
- Physical Therapist
- Bellevue, WA
- NPI 1710330378
-
- Durable Medical Equipment & Medical Supplies
- Puyallup, WA
- NPI 1225255318
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443139200000",
"number": "1669857173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 S. 500 E.",
"address_2": "SUITE 600",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841021971",
"telephone_number": "801-587-6336",
"fax_number": "801-715-8228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "590 S WAKARA WAY",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841081200",
"telephone_number": "801-587-7109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNSTETTER",
"first_name": "ANDREW",
"middle_name": "STEVEN",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-26",
"last_updated": "2015-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "9434396-8016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.