Individual provider Active NPI

Jennifer L Hughes, DPT

  • Physical Therapist
  • Bend, OR
National Provider Identifier
1295062263
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6114 Issued in OR
Practice address
Alpine Physical Therapy
336 SW Cyber Dr. Suite 107
Bend, OR 97702
Phone
(541) 382-5500
Fax
(541) 389-5669
NPI assigned
Nov 11, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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 6114 OR Primary

Addresses

Primary practice location

Alpine Physical Therapy
336 SW Cyber Dr. Suite 107
Bend, OR 97702

Mailing address

PO Box 1517
Pendleton, OR 97801-0410
Phone (877) 708-1119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091130000508 OR Practitioner - Physical Therapist in Private Practice 2365581600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alpine Physical Therapy and Wellness Center IncGroup PAC ID 5799835435, 8 clinicians

Practice addresses (Care Compare)

2546 NE Conners Ave
Suite 110
Bend, OR 97701-6761
Phone (541) 382-5500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6114ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alpine Physical Therapy and Wellness Center Inc Physical Therapist CurrentSince Jun 28, 2023 Accepting new patients
Proactive Orthopedic and Sports Physical Therapy of Oregon City LLC PastSince Dec 1, 2014 Accepting new patients

Locations

2546 NE Conners Ave
Ste 110
Bend, OR 97701
Phone (541) 382-5500

336 SW Cyber Dr
Ste 107
Bend, OR 97702
Phone (541) 382-5500

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1257897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1295062263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1517",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978010410",
            "telephone_number": "877-708-1119",
            "fax_number": "541-278-8349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ALPINE PHYSICAL THERAPY",
            "address_2": "336 SW CYBER DR. SUITE 107",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97702",
            "telephone_number": "541-382-5500",
            "fax_number": "541-389-5669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-11",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "6114",
            "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 23, 2023; 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.