Berthoud Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6456 Issued in CO

Legal business name

BERTHOUD PHYSICAL THERAPY LLC

Practice address

516 Mountain Ave
Berthoud, CO 80513

Phone

(970) 532-7500

Fax

(970) 532-7510

NPI assigned

Mar 10, 2014

Organization subpart

No

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

Authorized official

Name

Kelly MurtaghNPI 1104973387

Title

MSPT/Owner

Phone

(970) 532-7500

Specialties & licenses 4

Addresses

Tax ID family

Berthoud Physical Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Berthoud Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Berthoud, CO
  • NPI 1033315809
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly K. Murtagh, MSPT

  • Physical Therapist
  • Berthoud, CO
  • NPI 1104973387
  NPD (past) Authorized official

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

{
    "created_epoch": "1394409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394409600000",
    "number": "1962828384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1848",
            "city": "BERTHOUD",
            "state": "CO",
            "postal_code": "805131848",
            "telephone_number": "970-532-7500",
            "fax_number": "970-532-7510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 MOUNTAIN AVE",
            "city": "BERTHOUD",
            "state": "CO",
            "postal_code": "80513",
            "telephone_number": "970-532-7500",
            "fax_number": "970-532-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERTHOUD PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-10",
        "last_updated": "2014-03-10",
        "status": "A",
        "authorized_official_last_name": "MURTAGH",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "MSPT/OWNER",
        "authorized_official_telephone_number": "970-532-7500"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "6456",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "11134",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "6462",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "0866",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keely Beck
• Carmen Beckwith, D.D.S.
• Berthoud Drug, LLC
• Berthoud Family Physicians
• Berthoud Physical Therapy LLC
• Gisele Shea Berzins, M.A., L.P.C.
• Big Thompson Medical Group Inc.
• Luke Bishop, D.C.
• Alexis Blasi
• Brendan Stephen Bourke, LCSW

• All providers in Berthoud, CO
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; 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.