Active NPI
Bernard Louis Mannisio, PT
- Physical Therapist
- Littleton, CO
National Provider Identifier
1952490906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTL-9509
- Practice address
- 5920 S Estes St Ste 220
Littleton, CO 80123-8619 - Phone
- (303) 978-0734
- Fax
- (720) 925-5897
- NPI assigned
- Oct 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305205087 | VA | |
| Physical Therapist | 225100000X | PT870974 | DC | |
| Physical Therapist | 225100000X | PTL-9509 | CO | Primary |
Addresses
Primary practice location
5920 S Estes St Ste 220
Littleton, CO 80123-8619
Mailing address
5445 DTC Pkwy Ste 1130
Greenwood Village, CO 80111-3038
Phone (720) 749-5599
Other names 1
- Bernard Marchisio
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5920 S Estes St
Suite 220
Littleton, CO 80123-8619
Phone (303) 948-0734
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTL-9509 | CO | MD | Physical Therapist |
| PT870974 | DC | MD | Physical Therapist |
| 2305205087 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain View Pain Center | Physical Therapist | Current | Accepting new patients |
Locations
5445 Dtc Pkwy
Ste 1130
Greenwood Village, CO 80111
5920 S Estes St
Ste 220
Littleton, CO 80123
Phone (303) 221-1569
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709856000000",
"number": "1952490906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5445 DTC PKWY STE 1130",
"city": "GREENWOOD VILLAGE",
"state": "CO",
"postal_code": "801113038",
"telephone_number": "720-749-5599",
"fax_number": "720-925-5897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5920 S ESTES ST STE 220",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801238619",
"telephone_number": "303-978-0734",
"fax_number": "720-925-5897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANNISIO",
"first_name": "BERNARD",
"middle_name": "LOUIS",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2024-03-08",
"certification_date": "2024-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305205087",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DC",
"license": "PT870974",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PTL-9509",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BERNARD",
"last_name": "MARCHISIO",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Littleton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; 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.