Active NPI
Susan D. Jones, R.P.T., LLC
- Physical Therapist
- Bend, OR
National Provider Identifier
1396067823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 227947 | Medicaid | OR |
Other names 1
- Physical Therapy in the Old Mill District
National Provider Directory
National Provider DirectoryNPI 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.