Individual provider Active NPI

John Center, DPT

  • Physical Therapist
  • Bend, OR
National Provider Identifier
1356912802
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
64509 Issued in OR
Practice address
1160 SW Simpson Ave Ste 200
Bend, OR 97702-3542
Phone
(541) 322-9045
Fax
(541) 322-9044
NPI assigned
Jul 6, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PTP-PT-LIC-21667 MT
Physical Therapist 225100000X 64509 OR Primary

Addresses

Primary practice location

1160 SW Simpson Ave Ste 200
Bend, OR 97702-3542

Mailing address

805 SW Industrial Way Ste 3
Bend, OR 97702-1093
Phone (541) 322-9045

Other practice location 1

32 Campus Drive Skaggs 129
Missoula, MT 59812-0001
Phone (406) 243-4006

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220804001966 OR Practitioner - Physical Therapist in Private Practice 5597162909 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Focus Physical Therapy, Inc.Group PAC ID 9739113143, 9 clinicians

Practice addresses (Care Compare)

1001 SW Emkay Dr
Suite 100
Bend, OR 97702-3663
Phone (541) 385-3344

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
64509ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rebound Physical Therapy Limited Partnership Physical Therapist CurrentSince Jul 25, 2022 Accepting new patients
Focus Physical Therapy, Inc. Physical Therapist CurrentSince Jan 6, 2025 Accepting new patients
Rebound Physical Therapy Limited Partnership Physical Therapist CurrentSince Jul 25, 2022 Accepting new patients
University of Montana PastSince Jul 1, 2021 Accepting new patients

Locations

1160 SW Simpson Ave
Ste 200
Bend, OR 97702
Phone (541) 322-9045

805 SW Industrial Way
Ste 3
Bend, OR 97702
Phone (541) 323-5864

1001 SW Emkay Dr
Ste 100
Bend, OR 97702
Phone (541) 385-3344

1717 NE 2nd St
Redmond, OR 97756
Phone (541) 332-9045

Organizations & group practices 4

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": "1625529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1356912802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 SW INDUSTRIAL WAY STE 3",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021093",
            "telephone_number": "541-322-9045",
            "fax_number": "541-322-9044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 SW SIMPSON AVE STE 200",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023542",
            "telephone_number": "541-322-9045",
            "fax_number": "541-322-9044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32 Campus Drive Skaggs 129",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "598120001",
            "country_code": "US",
            "telephone_number": "406-243-4006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CENTER",
        "first_name": "JOHN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-06",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MT",
            "license": "PTP-PT-LIC-21667",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "64509",
            "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 Aug 25, 2022; 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.