Organization Active NPI

Basecamp Physical Therapy LLC

  • Physical Therapist
  • Bend, OR
National Provider Identifier
1235078734
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
BASECAMP PHYSICAL THERAPY LLC
Practice address
400 SW Bluff Dr Ste 210
Bend, OR 97702-1697
Phone
(541) 205-9055
Fax
(541) 243-1654
NPI assigned
Mar 27, 2026
Last updated
Mar 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Authorized official

Name
Timothy GrossNPI 1073971867
Title
Owner
Phone
(541) 205-0096

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

400 SW Bluff Dr Ste 210
Bend, OR 97702-1697

Mailing address

400 SW Bluff Dr Ste 210
Bend, OR 97702-1697

National Provider Directory

National Provider Directory

Locations

400 SW Bluff Dr
Ste 210
Bend, OR 97702
Phone (541) 205-9055

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1774569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774828800000",
    "number": "1235078734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SW BLUFF DR STE 210",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SW BLUFF DR STE 210",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021697",
            "telephone_number": "541-205-9055",
            "fax_number": "541-243-1654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASECAMP PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-27",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-205-0096"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "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 Mar 30, 2026; 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.