Matti Bermingham, ATC, LAT, LMT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT.0001355 Issued in CO

Practice address

390 Union Blvd
#650
Lakewood, CO 80228-1510

Phone

(406) 498-0483

NPI assigned

Feb 8, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1486512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1861930935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 UNION BLVD STE 650",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802286512",
            "telephone_number": "406-498-0483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 UNION BLVD",
            "address_2": "#650",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281510",
            "telephone_number": "406-498-0483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMINGHAM",
        "first_name": "MATTI",
        "credential": "ATC, LAT, LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-08",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "MT.0017978",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CO",
            "license": "AT.0001355",
            "primary": true
        },
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "CO",
            "license": "MT.0017978",
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "CO",
            "license": "AT.0001355",
            "primary": false
        },
        {
            "code": "2083S0010X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Sports Medicine",
            "state": "CO",
            "license": "AT.0001355",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald K Berggren, O.D.
• Maximilien Bergman, DO
• Delia Larisa Berinde, MS, LPC
• Peggy J Berkebile
• Jay Joseph Berkes, MD
• Alyssa Bernal
• Jennifer Bacalla Bernard, M.D.
• Jonathan Bernard, PHARMD
• Sandra Lynn Bernard, PA
• Natalie Marie Berner, PHARMD

• Athletic Trainer in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Athletic Trainer in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.