Benjamin Michael Bertrand, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4176 Issued in OR

Practice address

301 4TH St
La Grande, OR 97850-1901

Phone

(541) 963-9340

Fax

(541) 962-4562

NPI assigned

Nov 18, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rebecca Kay Street, P.T.

  • Physical Therapist
  • The Dalles, OR
  • NPI 1376633198

  OR

  Medicare reassignment
• Mountain Valley Therapy, Inc

  • Physical Therapist
  • La Grande, OR
  • NPI 1659353035
  NPD (past)
• Northeast Oregon Physical Therapy, LLC

  • Physical Therapist
  • La Grande, OR
  • NPI 1679907281
  NPD (past)
• Northeast Oregon Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • La Grande, OR
  • NPI 1821412735

  Physical Therapist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389916800000",
    "number": "1124000583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2508 E O AVE",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "978503862",
            "telephone_number": "541-962-8483",
            "fax_number": "541-963-4562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 4TH ST",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "978501901",
            "telephone_number": "541-963-9340",
            "fax_number": "541-962-4562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTRAND",
        "first_name": "BENJAMIN",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2014-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "4176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabrina Beeler
• Rosie Beith, RN
• Tomas Benitez III
• Lydia Berkshire
• Lisa Loiuse Berry, CHW
• Beyond Addiction-Recovery Solutions LLC
• Darcy Blackman
• Sarah Blackwood, PHARMD
• Brian Gregory Blais
• Amanda Blake

• All providers in La Grande, OR
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2014; 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.