MEDICARE: MATTI BERMINGHAM ATC, LAT, LMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	MT.0017978	CO
2	2255A2300X	Athletic Trainer	AT.0001355	CO
3	204C00000X	Sports Medicine (Neuromusculoskeletal Medicine) Physician	MT.0017978	CO
4	2081S0010X	Sports Medicine (Physical Medicine & Rehabilitation) Physician	AT.0001355	CO
5	2083S0010X	Sports Medicine (Preventive Medicine) Physician	AT.0001355	CO

General Provider Information

NPI Number	:	1861930935
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTI BERMINGHAM ATC, LAT, LMT

Provider Business Mailing Address
First Line	:	390 UNION BLVD STE 650
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80228-6512
Country	:	US
Telephone Number	:	406-498-0483
Fax Number	:

Provider Business Practice Location Address
First Line	:	390 UNION BLVD
Second Line	:	#650
City	:	LAKEWOOD
State	:	CO
Zip	:	80228-1510
Country	:	US
Telephone Number	:	406-498-0483
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/08/2017
Last Update Date	:	11/09/2020

Similar Medicare Providers

1295998391 — MS. FRANCES R OSMAK LCSW
Practice Location Address:

390 UNION BLVD , SUITE 260
LAKEWOOD, CO
80228-1510

Practice Phone: 720-201-6597
Practice Fax:

1134499221 — HANNAH MUNOZ
Practice Location Address:

390 UNION BLVD , #300
LAKEWOOD, CO
80228-1510

Practice Phone: 303-989-8169
Practice Fax:

1134482227 — TYSON ADLAI SCHREPEL LAC, CBP
Practice Location Address:

390 UNION BLVD
LAKEWOOD, CO
80228-1510

Practice Phone: 303-807-1377
Practice Fax:

1346789807 — DR. CAMERON MCKILLOP D.C.
Practice Location Address:

390 UNION BLVD , SUITE 650
LAKEWOOD, CO
80228-1510

Practice Phone: 810-730-2658
Practice Fax:

1558857722 — MADISON VICTORIA TEAL
Practice Location Address:

390 UNION BLVD
LAKEWOOD, CO
80228-1510

Practice Phone: 303-989-8169
Practice Fax:

1629531660 — JENNIFER TORREZ
Practice Location Address:

390 UNION BLVD , SUITE 300
LAKEWOOD, CO
80228-1510

Practice Phone: 303-989-8169
Practice Fax:

Directions to “ MATTI BERMINGHAM ATC, LAT, LMT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.