Active NPI
Jennifer Brassfield Physical Therapy LLC
- Physical Therapy Clinic/Center
- Bend, OR
National Provider Identifier
1124272588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- JENNIFER BRASSFIELD PHYSICAL THERAPY LLC
- Practice address
- 121 NW Greenwood Ave
Suite 102
Bend, OR 97701-2079 - Phone
- (541) 312-4253
- Fax
- (541) 330-8648
- NPI assigned
- Nov 12, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Brassfield, PT
- Title
- Owner/Physical Therapist
- Phone
- (541) 598-6415
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
121 NW Greenwood Ave
Suite 102
Bend, OR 97701-2079
Mailing address
3122 NW Craftsman Dr
Bend, OR 97701-8337
Phone (541) 598-6415
National Provider Directory
National Provider DirectoryLocations
121 NW Greenwood Ave
Ste 102
Bend, OR 97703
Phone (541) 312-4253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226448000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1226448000000",
"number": "1124272588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3122 NW CRAFTSMAN DR",
"city": "BEND",
"state": "OR",
"postal_code": "977018337",
"telephone_number": "541-598-6415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 NW GREENWOOD AVE",
"address_2": "SUITE 102",
"city": "BEND",
"state": "OR",
"postal_code": "977012079",
"telephone_number": "541-312-4253",
"fax_number": "541-330-8648"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JENNIFER BRASSFIELD PHYSICAL THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-12",
"last_updated": "2008-11-12",
"status": "A",
"authorized_official_last_name": "BRASSFIELD",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
"authorized_official_telephone_number": "541-598-6415",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"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 Nov 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.