Central Oregon Lymphedema and

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

CENTRAL OREGON LYMPHEDEMA AND

Practice address

2669 NE Twin Knolls Dr Ste 104
Bend, OR 97701-4895

Phone

(541) 241-0223

NPI assigned

Jan 5, 2023

Last updated

Jan 5, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melissa Foley Carlton, PTNPI 1255420154

Title

PT/Ownder

Phone

(541) 241-0223

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

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.

• Melissa Foley Carlton, PT

  • Physical Therapist
  • Bend, OR
  • NPI 1255420154
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672876800000",
    "number": "1346954294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2669 NE TWIN KNOLLS DR STE 104",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014895",
            "telephone_number": "541-241-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2669 NE TWIN KNOLLS DR STE 104",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014895",
            "telephone_number": "541-241-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL OREGON LYMPHEDEMA AND",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-05",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A",
        "authorized_official_last_name": "CARLTON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "FOLEY",
        "authorized_official_title_or_position": "PT/OWNDER",
        "authorized_official_telephone_number": "541-241-0223",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Oregon Hearing Aid Consultants LLC (Miracle-Ear)
• Central Oregon Hearing AIDS LLC (Absolutely Better Hearing Centers)
• Central Oregon Hospice (Central Oregon Home Health and Hospice)
• Central Oregon Intergovernmental Council (Coic) (Cascades East Ride Center (CERC))
• Central Oregon Internal Medicine LLC
• Central Oregon Magnetic Resonance Imaging LLC
• Central Oregon Magnetic Resonance Imaging LLC
• Central Oregon Magnetic Resonance Imaging LLC
• Central Oregon Magnetic Resonance Imaging LLC
• Central Oregon Magnetic Resonance Imaging LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.