Bend Physical Therapy Associates

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

BEND PHYSICAL THERAPY ASSOCIATES

Practice address

1011 Desperado TRL
Suite 201
Sisters, OR 97759-9580

Phone

(541) 549-3574

Fax

(541) 549-1092

NPI assigned

Dec 14, 2005

Organization subpart

No

Name

Mr. Todd Robert Gifford, PT

Title

Coo

Phone

(800) 219-8835

• TAI - Central Oregon Sisters Physical Therapy Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 9, 2010.

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283990400000",
    "number": "1295710143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11481 SW HALL BLVD",
            "address_2": "SUITE 201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972238403",
            "telephone_number": "800-219-8836",
            "fax_number": "503-639-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 DESPERADO TRL",
            "address_2": "SUITE 201",
            "city": "SISTERS",
            "state": "OR",
            "postal_code": "977599580",
            "telephone_number": "541-549-3574",
            "fax_number": "541-549-1092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEND PHYSICAL THERAPY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-14",
        "last_updated": "2010-09-09",
        "status": "A",
        "authorized_official_last_name": "GIFFORD",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "800-219-8835",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP",
            "identifier": "197671700",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TAI - Central Oregon Sisters Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Betty J Beaumont, LPC
• Lena Becker-Blease
• Alexa M Becker, PT
• Benchmark Physical Therapy of Or, LLC
• Bend Memorial Clinic PC
• Marjean Gutzman Bigelow, MASTERSSTUDENTINTERN
• Kris M Blodgett, DMD
• Courtney Boyd
• Bradlley Allan Braman, DMD
• Laurel Marie Brauns, LPC-A

• All providers in Sisters, OR
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; 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.