Active NPI
Michelle Amber Duncan, PT, DPT
- Physical Therapist
- Bend, OR
National Provider Identifier
1083016448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- T60783
- Practice address
- 2500 NE Neff Rd
Bend, OR 97701-6015 - Phone
- (541) 382-4321
- NPI assigned
- Sep 17, 2014
- 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 | T60783 | OR | Primary |
Addresses
Primary practice location
2500 NE Neff Rd
Bend, OR 97701-6015
Mailing address
629 NE Shirley CT
Bend, OR 97701-8173
Phone (503) 887-3143
Other practice location 1
4560 SE International Way
Suite 100
Milwaukie, OR 97222-4628
Phone (971) 206-5200
Other names 1
- Michelle Amber Dieringer
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T60783 | OR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1083016448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "629 NE SHIRLEY CT",
"city": "BEND",
"state": "OR",
"postal_code": "977018173",
"telephone_number": "503-887-3143",
"fax_number": "503-887-3143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 NE NEFF RD",
"city": "BEND",
"state": "OR",
"postal_code": "977016015",
"telephone_number": "541-382-4321"
}
],
"practiceLocations": [
{
"address_1": "4560 SE International Way",
"address_2": "Suite 100",
"address_purpose": "LOCATION",
"city": "Milwaukie",
"state": "OR",
"postal_code": "972224628",
"country_code": "US",
"telephone_number": "971-206-5200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUNCAN",
"first_name": "MICHELLE",
"middle_name": "AMBER",
"name_prefix": "Mrs.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-17",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "T60783",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "DIERINGER",
"middle_name": "AMBER",
"code": "1",
"type": "Former Name"
}
]
}
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 Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.