Jacqueline Smelser, MSPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

5153 Issued in OR

Practice address

750 NW Charbonneau St
Suite 108
Bend, OR 97703

Phone

(541) 216-6100

Fax

(541) 216-6677

NPI assigned

Jul 31, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jacqueline Parker Former name

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sunrise Physio LLCGroup PAC ID 3476968611, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sunrise Physio LLC

  • Physical Therapist
  • Bend, OR
  • NPI 1710524269
  Medicare reassignment Care Compare group NPD Authorized official
• Redbird LLC

  dba Redbird Physio

  • Physical Therapist
  • Bend, OR
  • NPI 1306213913
  Medicare reassignment
• New Proactive LLC

  dba ProActive Physical Therapy

  • Physical Therapy Clinic/Center
  • Oregon City, OR
  • NPI 1396273199

  Orthopedic

  NPD (past)
• Omnis Omnia Inc.

  dba Peak Performance Physical Therapy

  • Orthopedic Physical Therapist
  • Redmond, OR
  • NPI 1013949239
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587600000000",
    "number": "1316953292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 NW CHARBONNEAU ST",
            "address_2": "SUITE 108",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97703",
            "telephone_number": "541-216-6100",
            "fax_number": "541-216-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 NW CHARBONNEAU ST",
            "address_2": "SUITE 108",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97703",
            "telephone_number": "541-216-6100",
            "fax_number": "541-216-6677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1160 SW Simpson Ave",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977023542",
            "country_code": "US",
            "telephone_number": "541-322-9045",
            "fax_number": "541-322-9044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMELSER",
        "first_name": "JACQUELINE",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OR",
            "license": "5153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274645",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "PARKER",
            "credential": "MSPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sleep Better Bend LLC
• Lindsey Broida Kuehl Slinger, O.D.
• Jacob Jebediah Slosar
• Lou Massimo Smaldino, PHARM.D.
• Jeanette Small
• Kari Smerud, PA-C
• Alexa Christine Smith-Ellison, RN, CNM, WHNP
• Alexandra Caley Smith, RN, CNS
• Alexis Smith
• Amelia Anne Smith, PSYD.

• Orthopedic Physical Therapist in Bend, OR
• Providers in Bend, OR by specialty
• Orthopedic Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; 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.