NPIMap

Organization Active NPI

Resolve Physical Therapy

  • Physical Therapy Clinic/Center
  • Bend, OR
National Provider Identifier
1063989390
Registry record updated Oct 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
RESOLVE PHYSICAL THERAPY
Practice address
1740 NW Pence LN Ste 5
Bend, OR 97703-6743
Phone
(208) 406-1917
NPI assigned
Oct 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2018

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

Authorized official

Name
Jennifer L McAteer, PTNPI 1467767384
Title
Owner/Physical Therapist
Phone
(208) 406-1917

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1740 NW Pence LN Ste 5
Bend, OR 97703-6743

Mailing address

1740 NW Pence LN Ste 5
Bend, OR 97703-6743

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190201002713 OR Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5991042616 Receives reassigned benefits from 9 practitioners
Practice locations: Bend, OR

National Provider Directory

National Provider Directory

Locations

1740 NW Pence Ln
Ste 5
Bend, OR 97703
Phone (541) 306-1099

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540339200000",
    "number": "1063989390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 NW PENCE LN STE 5",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977036743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 NW PENCE LN STE 5",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977036743",
            "telephone_number": "208-406-1917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESOLVE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-24",
        "last_updated": "2018-10-24",
        "status": "A",
        "authorized_official_last_name": "MCATEER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "208-406-1917",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 24, 2018; 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.