Active NPI
Richard Bandy, PT
- Physical Therapist
- Clackamas, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 65508
- Practice address
- 11977 SE Sunnyside Rd
Clackamas, OR 97015-9312 - Phone
- (503) 486-6944
- NPI assigned
- Sep 25, 2006
- Last updated
- Oct 24, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT00007581 | WA | |
| Physical Therapist | 225100000X | 65508 | OR | Primary |
Addresses
Primary practice location
11977 SE Sunnyside Rd
Clackamas, OR 97015-9312
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2222
Other practice location 1
6985 Coal Creek Pkwy SE
Newcastle, WA 98059-3136
Phone (425) 378-0500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8341554 | Medicaid | WA | |
| 205223 | Other | WA | LABOR & INDUSTRIES |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 85.22 of 100
- Quality
- 87.65
- Improvement activities
- 40
- Cost
- 73.37
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29107 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erhardt Physical Therapy and Sports Medicine, LLC | Physical Therapist | Current | Accepting new patients |
| Dimond Physical Therapy and Performance Lab, LLC | Physical Therapist | Past | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
735 SW 158th Ave
Ste 160
Beaverton, OR 97006
Phone (503) 597-0035
11977 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 486-6944
3322 N Vancouver Ave
Portland, OR 97227
9500 SE 82nd Ave
Ste B
Portland, OR 97086
Phone (971) 323-6234
51385 SW Old Portland Rd
Scappoose, OR 97056
Phone (503) 543-7768
7800 SW Durham Rd
Ste 500
Tigard, OR 97224
Phone (503) 937-0090
30060 SW Boones Ferry Rd
Ste C34
Wilsonville, OR 97070
Phone (503) 404-3068
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba ATI Physical Therapy
- Physical Therapist
- Scappoose, OR
- NPI 1326110313
-
dba The KOR
- Physical Therapist
- Beaverton, OR
- NPI 1184864365
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729728000000",
"number": "1033219126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "630-296-2222",
"fax_number": "630-759-9510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11977 SE SUNNYSIDE RD",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970159312",
"telephone_number": "503-486-6944"
}
],
"practiceLocations": [
{
"address_1": "6985 Coal Creek Pkwy SE",
"address_purpose": "LOCATION",
"city": "Newcastle",
"state": "WA",
"postal_code": "980593136",
"country_code": "US",
"telephone_number": "425-378-0500",
"fax_number": "425-378-8168",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BANDY",
"first_name": "RICHARD",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2024-10-24",
"certification_date": "2024-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00007581",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "65508",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8341554",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES",
"identifier": "205223",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clackamas, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.