Laurel B Bernard, PT, OCS, FAAOMPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2524 Issued in NM

Practice address

4930 McLeod Rd NE
Albuquerque, NM 87109-2118

Phone

(505) 830-3678

Fax

(505) 830-6505

NPI assigned

Mar 28, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Laurel B Jones Former name

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": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369958400000",
    "number": "1902925191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 MARY ELLEN ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871124142",
            "telephone_number": "505-710-2640",
            "fax_number": "505-830-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4930 MCLEOD RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092118",
            "telephone_number": "505-830-3678",
            "fax_number": "505-830-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNARD",
        "first_name": "LAUREL",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "PT, OCS, FAAOMPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2013-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "2524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREL",
            "last_name": "JONES",
            "middle_name": "B",
            "prefix": "MS.",
            "credential": "PT, OCS, COMT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bernalillo Family Health Clinic, LLC
• Bernalillo Family Health Clinic, LLC
• Bernalillo Health Supplies
• Jasmine Keana Bernard, LCSW, LSSW
• Jennifer Fawn Bernard, PH.D.
• Judith Berner, RN
• Katherine Bernhardt
• Scott Bernhardt, LCSW
• Barre Bernier, M.D.
• Bernitsky Vision PC

• Physical Therapist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Physical Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2013; 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.