NPIMap

Organization Active NPI

Compass Physical Therapy LLC

  • Physical Therapist
  • Bend, OR
National Provider Identifier
1104125194
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5095 Issued in OR
Legal business name
COMPASS PHYSICAL THERAPY LLC
Practice address
915 NE 7TH St Ste 1
Bend, OR 97701-4515
Phone
(541) 728-0974
Fax
(541) 728-0159
NPI assigned
Mar 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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

Authorized official

Name
Thomas Pietrowski, PTNPI 1982764817
Title
Owner
Phone
(541) 728-0974

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 5095 OR Primary

Addresses

Primary practice location

915 NE 7TH St Ste 1
Bend, OR 97701-4515

Mailing address

915 NE 7TH St Ste 1
Bend, OR 97701-4515
Phone (541) 728-0974

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131024000711 OR Part B Supplier - Clinic/Group Practice 8729213947 Receives reassigned benefits from 4 practitioners
Practice locations: Bend, OR

National Provider Directory

National Provider Directory

Locations

915 NE 7th St
Ste 1
Bend, OR 97701
Phone (541) 728-0974

Practitioners & affiliated clinicians

Practitioners 5

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": "1300233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665532800000",
    "number": "1104125194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 NE 7TH ST STE 1",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014515",
            "telephone_number": "541-728-0974",
            "fax_number": "541-728-0159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 NE 7TH ST STE 1",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014515",
            "telephone_number": "541-728-0974",
            "fax_number": "541-728-0159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASS PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-16",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A",
        "authorized_official_last_name": "PIETROWSKI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-728-0974",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "5095",
            "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 12, 2022; 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.