NPIMap

Organization Active NPI

Bend Physical Therapy Associates

Doing business as TAI - Central Oregon Sisters Physical Therapy

  • Physical Therapist
  • Sisters, OR
National Provider Identifier
1295710143
Registry record updated Sep 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
BEND PHYSICAL THERAPY ASSOCIATES
Doing business as
TAI - Central Oregon Sisters Physical Therapy
Practice address
1011 Desperado TRL
Suite 201
Sisters, OR 97759-9580
Phone
(541) 549-3574
Fax
(541) 549-1092
NPI assigned
Dec 14, 2005
Last updated
Sep 9, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2010

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

Authorized official

Name
Mr. Todd Robert Gifford, PTNPI 1770933061
Title
Coo
Phone
(800) 219-8835

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X OR Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X OR

Addresses

Primary practice location

1011 Desperado TRL
Suite 201
Sisters, OR 97759-9580

Mailing address

11481 SW Hall Blvd
Suite 201
Portland, OR 97223-8403
Phone (800) 219-8836

Other names 1

  • TAI - Central Oregon Sisters Physical Therapy Doing business as

National Provider Directory

National Provider Directory

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": "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TAI - Central Oregon Sisters Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sisters, OR

Sources for this page

  • 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.