Amy Jean Hussey, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4011 Issued in OR

Practice address

147 SW Shevlin Hixon Dr Ste 104
Bend, OR 97702-3185

Phone

(541) 312-2252

Fax

(541) 312-8822

NPI assigned

May 5, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

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  NPD

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

{
    "created_epoch": "1620172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1184207201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 SW SHEVLIN HIXON DR STE 104",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023185",
            "telephone_number": "541-312-2252",
            "fax_number": "541-312-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 SW SHEVLIN HIXON DR STE 104",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023185",
            "telephone_number": "541-312-2252",
            "fax_number": "541-312-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSEY",
        "first_name": "AMY",
        "middle_name": "JEAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-05",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "4011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "4011",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Bend",
            "affiliation": "N",
            "address_1": "147 SW Shevlin Hixon Dr Ste 104",
            "city": "Bend",
            "state": "OR",
            "country_code": "US",
            "postal_code": "977023185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hillary Hurst
• Edward Hurt, CRM
• Lindsey Lee Hurtado
• Kelly K Huskey
• Linnea Huson, M.A., LPC
• Haley Hutcheson, LMT
• Ryan Hutchinson
• Jessica Hutson, QMHA
• Bridgette Hutton
• HW Happy Hoppers OT, LLC

• Physical Therapist in Bend, OR
• Providers in Bend, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.