Core Physical Therapy and Spine LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

1543 Issued in OR

Legal business name

CORE PHYSICAL THERAPY AND SPINE LLC

Practice address

336 SW Cyber Dr Ste 107
Bend, OR 97702-1682

Phone

(541) 389-6595

NPI assigned

Sep 16, 2009

Organization subpart

No

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

Authorized official

Name

Jennifer Brassfield, PT, DPT

Title

Co-Owner/Physical Therapist

Phone

(541) 389-6595

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262736000000",
    "number": "1003149485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 SW CYBER DR STE 107",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021682",
            "telephone_number": "541-389-6595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 SW CYBER DR STE 107",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021682",
            "telephone_number": "541-389-6595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE PHYSICAL THERAPY AND SPINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-16",
        "last_updated": "2010-01-06",
        "status": "A",
        "authorized_official_last_name": "BRASSFIELD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CO-OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "541-389-6595",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OR",
            "license": "1543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Bend, OR
• Providers in Bend, OR by specialty
• Physical Therapy Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; 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.