Organization Active NPI

Alpine Physical Therapy and Wellness Center Inc

Doing business as Alpine Physical Therapy

  • Physical Therapist
  • Bend, OR
National Provider Identifier
1003058363
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ALPINE PHYSICAL THERAPY AND WELLNESS CENTER INC
Doing business as
Alpine Physical Therapy
Alpine Physical Therapy & Spine Care
Practice address
395 SW Bluff Dr Ste 10
Bend, OR 97702-1670
Phone
(541) 382-5500
Fax
(541) 389-5669
NPI assigned
Apr 1, 2009
Last updated
Mar 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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

Authorized official

Name
Jill Freund
Title
Manager
Phone
(541) 382-5500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

395 SW Bluff Dr Ste 10
Bend, OR 97702-1670

Mailing address

395 SW Bluff Dr Ste 10
Bend, OR 97702-1670
Phone (541) 382-5500

Other practice location 1

2546 NE Conners Ave Ste 110
Bend, OR 97701-6761
Phone (541) 382-5500

Other identifiers 1

IdentifierTypeStateIssuer
500669493MedicaidOR

Other names 2

  • Alpine Physical Therapy Doing business as
  • Alpine Physical Therapy & Spine Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090618000146 OR Part B Supplier - Clinic/Group Practice 5799835435 Receives reassigned benefits from 9 practitioners
Practice locations: Bend, OR

National Provider Directory

National Provider Directory

Locations

2546 NE Conners Ave
Ste 110
Bend, OR 97701
Phone (541) 382-5500

336 SW Cyber Dr
#D107
Bend, OR 97702
Phone (541) 382-5500

745 NW Mt Washington Dr
Ste 104
Bend, OR 97703
Phone (541) 382-5500

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773964800000",
    "number": "1003058363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 SW BLUFF DR STE 10",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021670",
            "telephone_number": "541-382-5500",
            "fax_number": "541-389-5669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 SW BLUFF DR STE 10",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021670",
            "telephone_number": "541-382-5500",
            "fax_number": "541-389-5669"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2546 NE Conners Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977016761",
            "country_code": "US",
            "telephone_number": "541-382-5500",
            "fax_number": "541-389-5669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALPINE PHYSICAL THERAPY AND WELLNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-01",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A",
        "authorized_official_last_name": "FREUND",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "541-382-5500"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500669493",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alpine Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Alpine Physical Therapy & Spine Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Alpine Physical Therapy & Spine Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.