Active NPI
Brenda Renee Rode, DPT
- Physical Therapist
- Bend, OR
National Provider Identifier
1134101082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4233
- Practice address
- 633 NW York Dr Ste 100
Bend, OR 97703-9701 - Phone
- (541) 797-6104
- Fax
- (541) 797-6106
- NPI assigned
- Nov 16, 2005
- Last updated
- Jun 28, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4233 | OR | Primary |
Addresses
Primary practice location
633 NW York Dr Ste 100
Bend, OR 97703-9701
Mailing address
633 NW York Dr Ste 100
Bend, OR 97703-9701
Phone (541) 797-6104
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160420001564 | OR | Practitioner - Physical Therapist in Private Practice | 4587755301 | Practice locations: Bend, OR |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
633 NW York Dr
Suite 100
Bend, OR 97703-9701
Phone (541) 797-6104
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4233 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rode Physical Therapy | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Bend, OR
- NPI 1871958777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624838400000",
"number": "1134101082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "633 NW YORK DR STE 100",
"city": "BEND",
"state": "OR",
"postal_code": "977039701",
"telephone_number": "541-797-6104",
"fax_number": "541-797-6106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "633 NW YORK DR STE 100",
"city": "BEND",
"state": "OR",
"postal_code": "977039701",
"telephone_number": "541-797-6104",
"fax_number": "541-797-6106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODE",
"first_name": "BRENDA",
"middle_name": "RENEE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-16",
"last_updated": "2021-06-28",
"certification_date": "2021-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "4233",
"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 Jun 28, 2021; 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.