Rebound Physical Therapy, LLC
Organization Active NPI Physical Therapist · Lapine, OR
NPI 1093835233 · NPPES record last updated Apr 30, 2009
Key facts
- NPI
- 1093835233
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- REBOUND PHYSICAL THERAPY, LLC
- Practice address
- 51600 Huntington Rd
Suite B
Lapine, OR 97739-9626 - Phone
- (541) 536-7443
- Fax
- (541) 536-7805
- NPI assigned
- Mar 30, 2007
- Organization subpart
- No
Authorized official
- Name
- Jennifer Richardson
- Title
- Compliance Coordinator
- Phone
- (541) 585-2529
Corporate family (same tax ID) 3
National Provider Directory
- Tax ID family
- Rebound Physical Therap
Locations
51600 Huntington Rd
Ste B
La Pine, OR 97739
Phone (541) 536-7443
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | 0965535-8 | OR | |
| Physical Therapist |
225100000X | Yes | ||
| Hand Occupational Therapist |
225XH1200X | 0965535-8 | OR |
Addresses
Primary practice location
51600 Huntington Rd
Suite B
Lapine, OR 97739-9626
Mailing address
805 SW Industrial Way
Suite 3
Bend, OR 97702-1093
Phone (541) 585-2529
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 234859 | Medicaid | OR |
Other providers in Lapine, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.