Individual provider Active NPI

Jose A Menendez Bermudez, DPT

  • Physical Therapist
  • Bayamon, PR
National Provider Identifier
1861271488
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4623 Issued in PR
Practice address
MB5 Plaza 2
Urb. Monte Claro
Bayamon, PR 00961-4725
Phone
(787) 983-1274
NPI assigned
Sep 25, 2023
Last updated
Aug 1, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4623 PR Primary

Addresses

Primary practice location

MB5 Plaza 2
Urb. Monte Claro
Bayamon, PR 00961-4725

Mailing address

MB5 Plaza 2
Urb. Monte Claro
Bayamon, PR 00961-4725
Phone (787) 983-1274

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251014002760 PR Practitioner - Physical Therapist in Private Practice 8123531688 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

55 Ave Lopategui
Apt 256
Guaynabo, PR 00969

Urb Monte Claro Plaza 2
MB5
Bayamon, PR 00961-4725

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4623PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatrics & Sports Medicine P.S.C. CurrentSince Jun 13, 2025 Accepting new patients
Athletic Training and Rehab Center LLC CurrentSince Jun 13, 2025 Accepting new patients

Locations

BH9 Calle Quintana
Bayamon, PR 00956
Phone (939) 264-1889

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1861271488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MB5 PLAZA 2",
            "address_2": "URB. MONTE CLARO",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009614725",
            "telephone_number": "787-983-1274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MB5 PLAZA 2",
            "address_2": "URB. MONTE CLARO",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009614725",
            "telephone_number": "787-983-1274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENENDEZ BERMUDEZ",
        "first_name": "JOSE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-25",
        "last_updated": "2025-08-01",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PR",
            "license": "4623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; 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.

Verify at the official NPI Registry.