Active NPI
Jill M Bedard, LMBT
- Massage Therapist
- Fort Collins, CO
National Provider Identifier
1689171449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 21409
- Practice address
- 2211 S College Ave Ste 300
Fort Collins, CO 80525-1491 - Phone
- (970) 663-6142
- Fax
- (970) 488-2850
- NPI assigned
- Apr 9, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 21409 | CO | Primary |
Addresses
Primary practice location
2211 S College Ave Ste 300
Fort Collins, CO 80525-1491
Mailing address
107 W 29TH St Ste 100
Loveland, CO 80538-2200
Phone (970) 663-6142
Other practice location 1
107 W 29th St Ste 100
Loveland, CO 80538-2200
Phone (970) 663-6142
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21409 | CO | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rebound Sports & Physical Therapy, P.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Loveland, CO
- NPI 1780680926
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523232000000",
"number": "1689171449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 W 29TH ST STE 100",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805382200",
"telephone_number": "970-663-6142",
"fax_number": "970-635-3087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2211 S COLLEGE AVE STE 300",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805251491",
"telephone_number": "970-663-6142",
"fax_number": "970-488-2850"
}
],
"practiceLocations": [
{
"address_1": "107 W 29th St Ste 100",
"address_purpose": "LOCATION",
"city": "Loveland",
"state": "CO",
"postal_code": "805382200",
"country_code": "US",
"telephone_number": "970-663-6142",
"fax_number": "970-635-3087",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEDARD",
"first_name": "JILL",
"middle_name": "M",
"credential": "LMBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-09",
"last_updated": "2018-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": "21409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.