Individual provider Active NPI

Dee Dee Michelle Bergmann

  • Geriatric Physical Therapist
  • Colorado Springs, CO
National Provider Identifier
1881308807
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
Practice address
1125 Kelly Johnson Blvd Ste 251
Colorado Springs, CO 80920-3976
Phone
(571) 488-0117
NPI assigned
Jan 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X Primary

Addresses

Primary practice location

1125 Kelly Johnson Blvd Ste 251
Colorado Springs, CO 80920-3976

Mailing address

566 Larimer Creek Dr
Monument, CO 80132-8899
Phone (571) 488-0117

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240308003402 CO Practitioner - Physical Therapist in Private Practice 3678919909 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Colorado School of Medicine, Aurora, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Theramove LLCGroup PAC ID 5193198208, 2 clinicians

Practice addresses (Care Compare)

2735 N Arcadia St
Colorado Springs, CO 80907-6330
Phone (719) 259-8808

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
A C Enterprises, LLC Geriatrics CurrentSince May 1, 2024 Accepting new patients
Theramove LLC Geriatrics CurrentSince Feb 21, 2024 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1673568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1881308807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "566 LARIMER CREEK DR",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801328899",
            "telephone_number": "571-488-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 KELLY JOHNSON BLVD STE 251",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203976",
            "telephone_number": "571-488-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGMANN",
        "first_name": "DEE DEE",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-13",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; 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.