Active NPI
Brittany Estuesta, PT, DPT
- Physical Therapist
- Bend, OR
National Provider Identifier
1023544939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 62238
- Practice address
- 371 SW Upper Terrace Dr Ste 3
Bend, OR 97702-1560 - Phone
- (541) 316-0805
- Fax
- (541) 241-7670
- NPI assigned
- May 11, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 62238 | OR | Primary |
Addresses
Primary practice location
371 SW Upper Terrace Dr Ste 3
Bend, OR 97702-1560
Mailing address
371 SW Upper Terrace Dr Ste 3
Bend, OR 97702-1560
Phone (541) 316-0805
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500725277 | Medicaid | OR | |
| R194452 | Other | OR | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
392 W Main Ave
Sisters, OR 97759-0439
Phone (541) 316-0805
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspire Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Aspire Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Therapeutic Associates Inc | Physical Therapist | Past | Accepting new patients |
| Therapeutic Associates Inc | Physical Therapist | Past | Accepting new patients |
Locations
170 Scalehouse Loop
Ste 100
Bend, OR 97702
Phone (541) 316-0805
371 SW Upper Terrace Dr
Ste 3
Bend, OR 97702
Phone (541) 316-0805
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Bend, OR
- NPI 1184215790
-
- Physical Therapist
- Sisters, OR
- NPI 1740997030
-
- Physical Therapist
- Portland, OR
- NPI 1700862000
-
- Physical Therapist
- Bothell, WA
- NPI 1114376563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722902400000",
"number": "1023544939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "371 SW UPPER TERRACE DR STE 3",
"city": "BEND",
"state": "OR",
"postal_code": "977021560",
"telephone_number": "541-316-0805",
"fax_number": "541-241-7670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "371 SW UPPER TERRACE DR STE 3",
"city": "BEND",
"state": "OR",
"postal_code": "977021560",
"telephone_number": "541-316-0805",
"fax_number": "541-241-7670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTUESTA",
"first_name": "BRITTANY",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-11",
"last_updated": "2024-08-06",
"certification_date": "2024-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "62238",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500725277",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "R194452",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
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 Aug 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.