Active NPI
William Cottrell, MSPT
- Physical Therapist
- Bend, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTL.0007673
- Practice address
- 119 SE Wilson Ave
Bend, OR 97702-1714 - Phone
- (720) 233-5410
- NPI assigned
- May 8, 2013
- Last updated
- Apr 6, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTL.0007673 | CO | Primary |
| Physical Therapist | 225100000X | 5359 | OR |
Addresses
Primary practice location
119 SE Wilson Ave
Bend, OR 97702-1714
Mailing address
119 SE Wilson Ave
Bend, OR 97702-1714
Phone (720) 233-5410
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5359 | Other | OR | OREGON PT LICENSE |
| PTL.0007673 | Other | CO | NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1010 NE Purcell Blvd
Bend, OR 97701-5113
Phone (541) 385-8500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTL.0007673 | CO | MD | Physical Therapist |
| 5359 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seniors at Home LLC | Current | Accepting new patients | |
| Select Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
| CCR Therapies LLC | Physical Therapist | Current | Accepting new patients |
| Cascade Family Care PC | Past | Accepting new patients |
Locations
2875 14th Ave SE
Albany, OR 97322
Phone (541) 967-9700
1010 NE Purcell Blvd
Bend, OR 97701
Phone (541) 318-6042
1025 NE Purcell Blvd
Bend, OR 97701
Phone (503) 312-4300
119 SE Wilson Ave
Bend, OR 97702
Phone (541) 250-0922
20215 Powers Rd
Bend, OR 97702
Phone (541) 318-3322
20225 Powers Rd
Bend, OR 97702
Phone (541) 318-3322
3720 N Clarey St
Eugene, OR 97402
Phone (541) 687-9390
3760 N Clarey St
Eugene, OR 97402
Phone (541) 607-9525
621 W Oak St
Lebanon, OR 97355
Phone (541) 258-7777
17309 NE Glisan St
Portland, OR 97230
Phone (503) 253-4920
5881 Woodside Dr SE
Salem, OR 97306
Phone (503) 316-0687
9000 SW 91st Ave
Tigard, OR 97223
Phone (503) 445-4363
17950 SW 115th Ave
Tualatin, OR 97062
Phone (503) 692-1748
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Rehabilitation Clinic/Center
- Glenview, IL
- NPI 1346368248
OR, Physical Therapist
-
- Physical Therapist
- Bend, OR
- NPI 1699477810
-
- Family Nurse Practitioner
- Salem, OR
- NPI 1174717573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680739200000",
"number": "1114362852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 SE WILSON AVE",
"city": "BEND",
"state": "OR",
"postal_code": "977021714",
"telephone_number": "720-233-5410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 SE WILSON AVE",
"city": "BEND",
"state": "OR",
"postal_code": "977021714",
"telephone_number": "720-233-5410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COTTRELL",
"first_name": "WILLIAM",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-08",
"last_updated": "2023-04-06",
"certification_date": "2023-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PTL.0007673",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "5359",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OREGON PT LICENSE",
"identifier": "5359",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "PTL.0007673",
"state": "CO"
}
],
"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 Apr 6, 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.