Organization Active NPI

Susan D. Jones, R.P.T., LLC

  • Physical Therapist
  • Bend, OR
National Provider Identifier
1396067823
Registry record updated Feb 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SUSAN D. JONES, R.P.T., LLC
Practice address
595 SW Bluff Dr
Bend, OR 97702-1282
Phone
(541) 383-2185
Fax
(541) 388-2606
NPI assigned
Feb 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2010

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

Authorized official

Name
Mr. Susan Diane Jones, M.S., P.T.
Title
Physical Therpist
Phone
(541) 389-9066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

595 SW Bluff Dr
Bend, OR 97702-1282

Mailing address

19625 Blue Sky LN
Bend, OR 97702-3144
Phone (541) 389-9066

Other identifiers 1

IdentifierTypeStateIssuer
227947MedicaidOR

Other names 1

  • Physical Therapy in the Old Mill District Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1267056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267056000000",
    "number": "1396067823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19625 BLUE SKY LN",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023144",
            "telephone_number": "541-389-9066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 SW BLUFF DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021282",
            "telephone_number": "541-383-2185",
            "fax_number": "541-388-2606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN D. JONES, R.P.T., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-25",
        "last_updated": "2010-02-25",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "PHYSICAL THERPIST",
        "authorized_official_telephone_number": "541-389-9066",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S., P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "227947",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physical Therapy in the Old Mill District",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Feb 25, 2010; 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.