Individual provider Active NPI

Michaela Cioffredi, DPT

  • Physical Therapist
  • Lebanon, NH
National Provider Identifier
1073082673
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP022568T Issued in NH
Practice address
112 Etna Rd
Lebanon, NH 03766-1559
Phone
(603) 643-7788
Fax
(603) 643-0022
NPI assigned
Nov 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP022568T NH Primary
Physical Therapist 225100000X 63052 OR

Addresses

Primary practice location

112 Etna Rd
Lebanon, NH 03766-1559

Mailing address

4135 Quest Dr
Eugene, OR 97402-8768

Other practice location 1

4135 Quest Dr
Eugene, OR 97402-8768
Phone (541) 461-8006

Other practice location 2

600 Country Club Rd
Eugene, OR 97401-2240
Phone (541) 345-0600

Other identifiers 1

IdentifierTypeStateIssuer
63052OtherOROREGON PHYSICAL THERAPIST LICENSING BOARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, NH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190108003445 OR Practitioner - Physical Therapist in Private Practice 4880930049 Reassigns benefits to 1 organization
I20230825000742 NH Practitioner - Physical Therapist in Private Practice 4880930049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2185 NW Shevlin Park Rd
Bend, OR 97703-7101
Phone (541) 728-0713

3007 NE W Devils Lake Rd
Lincoln City, OR 97367-5131
Phone (541) 994-6252

7555 Falcon Crest Dr
Redmond, OR 97756-5022
Phone (541) 527-4353

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP022568TNHMDPhysical Therapist
63052ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Physical Therapy of Oregon LLC Physical Therapist CurrentSince Aug 13, 2024 Accepting new patients
Benchmark Physical Therapy of Oregon LLC Physical Therapist Current Accepting new patients
Benchmark Physical Therapy of Or, LLC Physical Therapist CurrentSince Aug 13, 2024 Accepting new patients
Cioffredi & Associates Physical Therapy, LLC Physical Therapist CurrentSince Sep 17, 2023 Accepting new patients
Therapeutic Associates Inc Physical Therapist Past Accepting new patients
Therapeutic Associates Inc Physical Therapist Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

151 Route 10 N
Grantham, NH 03753
Phone (603) 643-7788

112 Etna Rd
Lebanon, NH 03766
Phone (603) 643-7788

3007 NE West Devils Lake Rd
Lincoln City, OR 97367
Phone (541) 994-6252

3512 Excel Dr
Ste 105
Medford, OR 97504
Phone (541) 245-0419

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1542067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1073082673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4135 QUEST DR",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974028768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 ETNA RD",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037661559",
            "telephone_number": "603-643-7788",
            "fax_number": "603-643-0022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4135 Quest Dr",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974028768",
            "country_code": "US",
            "telephone_number": "541-461-8006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Country Club Rd",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974012240",
            "country_code": "US",
            "telephone_number": "541-345-0600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CIOFFREDI",
        "first_name": "MICHAELA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-13",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "CP022568T",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "63052",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON PHYSICAL THERAPIST LICENSING BOARD",
            "identifier": "63052",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; 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.

Verify at the official NPI Registry.