MATTI BERMINGHAM (NPI# 1861930935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861930935 |
| Entity Type | Individual |
| Full Name | MATTI BERMINGHAM |
| Credential | ATC, LAT, LMT |
| Practice Address |
390 Union Blvd #650 Lakewood CO 80228-1510 |
| Mailing Address |
390 Union Blvd Ste 650 Lakewood CO 80228-6512 |
| Practice Telephone | 4064980483 |
| Mailing Telephone | 4064980483 |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2020-11-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | MT.0017978 | CO | Allopathic & Osteopathic Physicians |
| N | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
AT.0001355 | CO | Allopathic & Osteopathic Physicians |
| N | 2083S0010X |
Preventive Medicine Specialization: Sports Medicine |
AT.0001355 | CO | Allopathic & Osteopathic Physicians |
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT.0001355 | CO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225700000X | Massage Therapist | MT.0017978 | CO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
390 UNION BLVD #650 |
| City | LAKEWOOD |
| State | CO |
| Zip Code | 80228-1510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073617239 | Kathleen R Remington | Counselor | 390 Union Blvd, Suite 260, Lakewood, CO 80228 | 2006-09-11 |
| 1952919474 | Jordain Hansen | Behavior Technician | 390 Union Blvd, Suite 300, Lakewood, CO 80228-1510 | 2020-07-21 |
| 1770191298 | Michele Donovan | Behavior Technician | 390 Union Blvd, Suite 300, Lakewood, CO 80228-1510 | 2020-07-21 |
| 1689282105 | Stephanie New | Behavior Technician | 390 Union Blvd, Suite 300, Lakewood, CO 80228-1510 | 2020-07-21 |
| 1598395154 | Madison Newman | Behavior Technician | 390 Union Blvd, Suite 300, Lakewood, CO 80228-1510 | 2020-01-23 |
| 1407486061 | Ashley Sowders | Behavior Technician | 390 Union Blvd, Suite 300, Lakewood, CO 80228-1510 | 2020-01-23 |
| 1316577976 | Charu Mittal | Behavior Technician | 390 Union Blvd, Suite 300, Lakewood, CO 80228-1510 | 2020-01-23 |
| 1225668882 | Colin Downs | Behavior Technician | 390 Union Blvd, Suite 300, Lakewood, CO 80228-1510 | 2020-01-23 |
| 1134759798 | Danielle Adams | Behavior Technician | 390 Union Blvd, Suite 300, Lakewood, CO 80228-1510 | 2020-01-23 |
| 1396391140 | Nicholas Dyl | Behavior Technician | 390 Union Blvd, Suite 300, Lakewood, CO 80228-1510 | 2019-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174083570 | Lindsey Mae Beverly | Physician Assistant | Medical Plaza 2, 11700 W 2nd Pl, #350, Lakewood, CO 80228 | 2019-03-21 |
| 1881119931 | Cory J Frazier | Nurse Practitioner | 11600 W. 2nd Pl, Lakewood, CO 80228 | 2017-08-10 |
| 1508213885 | Chelsea Tucker | Counselor | 12157 W Cedar Dr Ste 207, Lakewood, CO 80228 | 2016-05-17 |
| 1972963841 | Shastin Gerbracht | Counselor | 12055 W 2nd Pl, Ste 200, Lakewood, CO 80228 | 2016-03-04 |
| 1073983375 | Suzanne Phillips | Behavioral Analyst | 200 Union Blvd. Ste. 200, Lakewood, Co. 80228, Denver, CO 80228 | 2015-09-29 |
| 1700265667 | April Mearsha | Doula | 12977 W Cedar Dr, 2-305, Lakewood, CO 80228 | 2015-05-26 |
| 1306233713 | Caleb Hedberg | Internal Medicine | 165 S Union Blvd Ste 800, Lakewood, CO 80228 | 2015-04-23 |
| 1972996288 | David Lindsey Currie | Counselor | 12055 W 2nd Place, Jefferson Ctr for Mental Health, Lakewood, CO 80228 | 2015-03-11 |
| 1619365533 | Michelle Broberg II | Technician | 12055 West 2nd Plaza, Lakewood, CO 80228 | 2014-12-30 |
| 1750789012 | Kayla Morrison | Social Worker | 12005 W 2nd Place, Lakewood, CO 80228 | 2014-12-18 |
| Find all providers in zip 80228 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518589324 | Gina J Iniguez | Specialist/Technologist | 5640 Lakewood Blvd, Lakewood, CA 90712-1726 | 2020-05-14 |
| 1811521693 | Brianna Pittman | Specialist/Technologist | 9442 W Kentucky Pl, Lakewood, CO 80226-4174 | 2020-03-02 |
| 1467093948 | Mohamed B Alodat | Specialist/Technologist | 1546 Rosewood Ave, Lakewood, OH 44107-3736 | 2019-10-04 |
| 1164079349 | Wilson J Arabie | Specialist/Technologist | 435 Wright St Apt 42, Lakewood, CO 80228-1153 | 2019-08-21 |
| 1992272157 | Jennifer Schultz | Specialist/Technologist | 13175 W Green Mountain Dr, Lakewood, CO 80228-3512 | 2018-10-25 |
| 1316432453 | Caleb Strassberg | Specialist/Technologist | 5632 Lorelei Ave, Lakewood, CA 90712-2041 | 2018-06-29 |
| 1376047928 | Alexander Van Der Henst-huerta | Specialist/Technologist | 21120 Dalaman Ave, Lakewood, CA 90715-2114 | 2018-03-20 |
| 1932602877 | Katie Mika Yamaguchi | Specialist/Technologist | 4420 Gondar Ave, Lakewood, CA 90713-2916 | 2018-03-16 |
| 1134620339 | John Thomas Harder | Specialist/Technologist | 413 Zang St Apt 513, Lakewood, CO 80228-1055 | 2018-02-22 |
| 1063964377 | Jeffrey Michael Lambert-shemo | Specialist/Technologist | 1362 Manor Park Ave, Lakewood, OH 44107-2680 | 2016-11-03 |
| Find all providers in LAKEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.