Individual provider Active NPI

Katharine Eileen Maguire, PT

  • Physical Therapist
  • Bend, OR
National Provider Identifier
1154693844
Registry record updated May 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
06707 Issued in OR
Practice address
1999 SW Troon Ave
Bend, OR 97702-3143
Phone
(928) 607-9045
NPI assigned
Jan 27, 2012
Last updated
May 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2019

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 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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
6707ORMDPharmacist
06707ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ground Work Physical Therapy CurrentSince Jun 1, 2019 Accepting new patients
Physical Therapy Works, Inc Physical Therapist CurrentSince Apr 9, 2024 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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.