Individual provider Active NPI

Donald James Chiapetta, PT

  • Physical Therapist
  • Bend, OR
National Provider Identifier
1154313187
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3911 Issued in OR
Practice address
364 SE Wilson Ave
Bend, OR 97702-1711
Phone
(541) 388-2681
Fax
(541) 388-9236
NPI assigned
Aug 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3911 OR Primary

Addresses

Primary practice location

364 SE Wilson Ave
Bend, OR 97702-1711

Mailing address

2607 NW Ordway Ave
Bend, OR 97701-5497
Phone (541) 330-5654

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041029000219 OR Practitioner - Physical Therapist in Private Practice 8224090527 Reassigns benefits to 2 organizations
Practice locations: Bend, OR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3911ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bend Mobile Physical Therapy LLC Physical Therapist CurrentSince Mar 7, 2025 Accepting new patients
Sampson Physical Therapy, Inc Physical Therapist CurrentSince Oct 31, 2016 Accepting new patients
Gregory Zadow Inc. P.S. Physical Therapist PastSince May 25, 2006 Accepting new patients
Southside Physical Therapy, Inc. Physical Therapist PastSince Oct 31, 2016 Accepting new patients

Locations

121 NW Greenwood Ave
Ste 101
Bend, OR 97703
Phone (541) 388-2681

364 SE Wilson Ave
Bend, OR 97702
Phone (541) 388-2671

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1154313187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2607 NW ORDWAY AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977015497",
            "telephone_number": "541-330-5654",
            "fax_number": "541-388-9236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 SE WILSON AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021711",
            "telephone_number": "541-388-2681",
            "fax_number": "541-388-9236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIAPETTA",
        "first_name": "DONALD",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "3911",
            "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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.