Redbird Physio

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2133 Issued in OR

Legal business name

REDBIRD PHYSIO

Practice address

1441 SW Chandler Ave
Suite 104
Bend, OR 97702-3208

Phone

(541) 797-3052

NPI assigned

Jan 31, 2016

Last updated

Jun 24, 2020By 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

Kristen Childress

Title

Business Manager

Phone

(541) 797-3052

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Andrew J Fecteau, PT

  • Physical Medicine & Rehabilitation Physician
  • Bend, OR
  • NPI 1063718757
  NPD
• Derek A Green, DPT

  • Orthopedic Physical Therapist
  • Bend, OR
  • NPI 1285946822
  NPD (past)

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

{
    "created_epoch": "1454198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592956800000",
    "number": "1356709703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 SW CHANDLER AVE",
            "address_2": "SUITE 104",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023208",
            "telephone_number": "541-797-3052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 SW CHANDLER AVE",
            "address_2": "SUITE 104",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023208",
            "telephone_number": "541-797-3052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDBIRD PHYSIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-31",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A",
        "authorized_official_last_name": "CHILDRESS",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "541-797-3052"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "2133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebound Physical Therapy, LLC
• Rebound Physical Therapy, LLC
• Rebound Physical Therapy, LLC
• Rebound Physical Therapy, LLC
• Redbird LLC (Redbird Physio)
• Morningstarr Redcrane
• Hilary Rachael Redden, M.D.
• Redmond School District
• Ginger Rrene' Reed
• Hannah Mary Reed, LMT

• 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 Jun 24, 2020; 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.