Andrew J Fecteau, PT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

2914 Issued in OR

Practice address

1441Swchandler Ave 104
Bend, OR 97702-3208

Phone

(541) 280-4170

NPI assigned

Jan 28, 2011

Last updated

Oct 23, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Redbird LLC

  dba Redbird Physio

  • Physical Therapist
  • Bend, OR
  • NPI 1306213913
  Authorized official Same address or phone
• Redbird Physio

  • Physical Therapist
  • Bend, OR
  • NPI 1356709703
  NPD

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

{
    "created_epoch": "1296172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445558400000",
    "number": "1063718757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912NWRIVERSIDE BLVD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977032732",
            "telephone_number": "541-280-4170",
            "fax_number": "541-610-1838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441SWCHANDLER AVE 104",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023208",
            "telephone_number": "541-280-4170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FECTEAU",
        "first_name": "ANDREW",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-28",
        "last_updated": "2015-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OR",
            "license": "2914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203430",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholas Robert Faunce, MD
• Victoria Faunce, FNP-BC
• Elaine Faverey, DC
• Rebekah Lynn Favia, LPC, RDN
• Samantha Fe, LPC
• Dennis R Fee, OD
• Etosha C Fegan, OD
• Keith Robert Feilzer, O.D.
• Scott Feldenheimer, D.C.
• Jeremy P Feldman, M.D.

• Physical Medicine & Rehabilitation Physician in Bend, OR
• Providers in Bend, OR by specialty
• Physical Medicine & Rehabilitation Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2015; 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.