Organization Active NPI

Jennifer Brassfield Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Bend, OR
National Provider Identifier
1124272588
Registry record updated Nov 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
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

Updated by the provider on Nov 12, 2008

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.