Kristine Maclean-Talbot
Individual provider Active NPI Physical Therapist · Redmond, OR
NPI 1235249889 · NPPES record last updated Nov 13, 2012
Key facts
- NPI
- 1235249889
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 450 NW Greenwood Ave
Redmond, OR 97756-1531 - Phone
- (542) 923-0410
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- New Proactive LLC
Practice addresses (Care Compare)
450 NW Greenwood Ave
Redmond, OR 97756-1531
Phone (541) 923-0410
61470 S Hwy 97
Suite 3B
Bend, OR 97702-2187
Phone (541) 508-5473
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130821000249 | OR | Practitioner - Physical Therapist in Private Practice | 3577706688 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omnis Omnia Inc. | Current |
Accepting new patients |
Locations
910 SW Highway 97
Madras, OR 97741
Phone (541) 923-0410
450 NW Greenwood Ave
Redmond, OR 97756
Phone (541) 923-0410
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Yes |
Addresses
Primary practice location
450 NW Greenwood Ave
Redmond, OR 97756-1531
Mailing address
1144 NW Stannium Rd
Bend, OR 97701-2141
Phone (207) 299-7796
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5750 | Other | OR | LICENSE # |
| PT2928 | Other | ME | LICENSE # |
Other providers in Redmond, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.