Active NPI
Katharine Eileen Maguire, PT
- Physical Therapist
- Bend, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 06707
- Practice address
- 1999 SW Troon Ave
Bend, OR 97702-3143 - Phone
- (928) 607-9045
- NPI assigned
- Jan 27, 2012
- Last updated
- May 20, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 06707 | OR | Primary |
Addresses
Primary practice location
1999 SW Troon Ave
Bend, OR 97702-3143
Mailing address
1999 SW Troon Ave
Bend, OR 97702-3143
Phone (928) 607-9045
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120927000240 | OR | Practitioner - Physical Therapist in Private Practice | 8820247356 |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2006
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2863 NW Crossing Dr
Suite 130
Bend, OR 97703-7189
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6707 | OR | MD | Pharmacist |
| 06707 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ground Work Physical Therapy | Current | Accepting new patients | |
| Physical Therapy Works, Inc | Physical Therapist | Current | Accepting new patients |
| High Desert Therapy Associates Inc | Past | Accepting new patients |
Locations
2863 NW Crossing Dr
Ste 130
Bend, OR 97703
Phone (541) 728-2808
330 NE Marshall Ave
Bend, OR 97701
Phone (541) 383-8179
Interoperability endpoints
- https://api.platform.athenahealth.com/8698/brand/1/csg/1/fhir/r4
Organizations & group practices 3
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 Therapy Clinic/Center
- Bend, OR
- NPI 1689228686
-
- Physical Therapist
- Redmond, OR
- NPI 1740031285
-
dba La Pine Physical Therapy
- Physical Therapy Clinic/Center
- Sunriver, OR
- NPI 1871569764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558310400000",
"number": "1154693844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1999 SW TROON AVE",
"city": "BEND",
"state": "OR",
"postal_code": "977023143",
"telephone_number": "928-607-9045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1999 SW TROON AVE",
"city": "BEND",
"state": "OR",
"postal_code": "977023143",
"telephone_number": "928-607-9045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGUIRE",
"first_name": "KATHARINE",
"middle_name": "EILEEN",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-27",
"last_updated": "2019-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "06707",
"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 May 20, 2019; 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.