Active NPI
John Hilt, PT, DPT
- Physical Therapist
- Bend, OR
National Provider Identifier
1154736676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- OR 60932
- Practice address
- 61615 Athletic Club Dr
Bend, OR 97702-3247 - Phone
- (541) 382-7890
- Fax
- (541) 382-7498
- NPI assigned
- Jun 23, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | OR 60932 | OR | Primary |
| Orthopedic Physical Therapist | 2251X0800X | PTL.0012686 | CO |
Addresses
Primary practice location
61615 Athletic Club Dr
Bend, OR 97702-3247
Mailing address
16083 SW Upper Boones Ferry Rd Ste 300
Tigard, OR 97224-7736
Phone (800) 219-8835
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500687285 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1441 SW Chandler Ave
Bend, OR 97702-3208
Phone (541) 797-3052
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OR 60932 | OR | MD | Physical Therapist |
| PTL.0012686 | CO | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Redbird LLC | Physical Therapist | Current | Accepting new patients |
| Therapeutic Associates Inc | Physical Therapist | Past | Accepting new patients |
| Therapeutic Associates Inc | Physical Therapist | Past | Accepting new patients |
Locations
1441 SW Chandler Ave
Ste 103
Bend, OR 97702
Phone (541) 312-2252
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 and National Provider Directory roles.
-
- Physical Therapist
- Bend, OR
- NPI 1306213913
-
- Physical Therapist
- Portland, OR
- NPI 1700862000
-
- Physical Therapist
- Bothell, WA
- NPI 1114376563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437004800000",
"number": "1154736676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16083 SW UPPER BOONES FERRY RD STE 300",
"city": "TIGARD",
"state": "OR",
"postal_code": "972247736",
"telephone_number": "800-219-8835",
"fax_number": "503-639-9699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61615 ATHLETIC CLUB DR",
"city": "BEND",
"state": "OR",
"postal_code": "977023247",
"telephone_number": "541-382-7890",
"fax_number": "541-382-7498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILT",
"first_name": "JOHN",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-23",
"last_updated": "2015-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "OR 60932",
"primary": true
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CO",
"license": "PTL.0012686",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500687285",
"state": "OR"
}
],
"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 16, 2015; 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.