Individual provider Active NPI

William Cottrell, MSPT

  • Physical Therapist
  • Bend, OR
National Provider Identifier
1114362852
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0007673 Issued in CO
Practice address
119 SE Wilson Ave
Bend, OR 97702-1714
Phone
(720) 233-5410
NPI assigned
May 8, 2013
Last updated
Apr 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 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 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

IdentifierTypeStateIssuer
5359OtherOROREGON PT LICENSE
PTL.0007673OtherCONPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231110000830 OR Practitioner - Physical Therapist in Private Practice 6305293465 Reassigns benefits to 2 organizations

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
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

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

LicenseStateTypeSpecialty
PTL.0007673COMDPhysical Therapist
5359ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Seniors at Home LLC CurrentSince Jan 23, 2026 Accepting new patients
Select Rehabilitation, LLC Physical Therapist CurrentSince Sep 25, 2023 Accepting new patients
CCR Therapies LLC Physical Therapist CurrentSince Mar 26, 2023 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.

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.

Verify at the official NPI Registry.