Individual provider Active NPI

Morag Helen, Shaw Sampson, P.T.

  • Physical Therapist
  • Bend, OR
National Provider Identifier
1356343263
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2413 Issued in OR
Practice address
364 SE Wilson Ave
Bend, OR 97702-1711
Phone
(541) 388-2681
Fax
(541) 388-9236
NPI assigned
Aug 10, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 2413 OR Primary

Addresses

Primary practice location

364 SE Wilson Ave
Bend, OR 97702-1711

Mailing address

62593 Quail Ridge Rd
Bend, OR 97701-9553
Phone (541) 318-6355

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041029000367 OR Practitioner - Physical Therapist in Private Practice 6709848021 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sampson Physical Therapy IncGroup PAC ID 9133408776, 5 clinicians

Practice addresses (Care Compare)

121 NW Greenwood Ave
Suite 101
Bend, OR 97703-2079
Phone (541) 388-2681

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sampson Physical Therapy, Inc Physical Therapist CurrentSince Oct 31, 2016 Accepting new patients
Southside Physical Therapy, Inc. Physical Therapist Past Accepting new patients

Locations

121 NW Greenwood Ave
Ste 101
Bend, OR 97703
Phone (541) 388-2681

364 SE Wilson Ave
Bend, OR 97702
Phone (541) 388-2671

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": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1356343263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62593 QUAIL RIDGE RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977019553",
            "telephone_number": "541-318-6355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 SE WILSON AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021711",
            "telephone_number": "541-388-2681",
            "fax_number": "541-388-9236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPSON",
        "first_name": "MORAG",
        "middle_name": "HELEN, SHAW",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "2413",
            "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 Jul 13, 2026; 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.