Nicholas L North, PT, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

64789 Issued in OR

Practice address

225 NE Lafayette Ave
Bend, OR 97701-4553

Phone

(303) 710-1238

NPI assigned

Oct 16, 2013

Last updated

Aug 31, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Nicholas L Kulesa Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1381881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1396173068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 NE LAFAYETTE AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014553",
            "telephone_number": "303-710-1238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 NE LAFAYETTE AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014553",
            "telephone_number": "303-710-1238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORTH",
        "first_name": "NICHOLAS",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-16",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OR",
            "license": "64789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICHOLAS",
            "last_name": "KULESA",
            "middle_name": "L",
            "prefix": "DR.",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Norco, Inc.
• Linda Nordhus, D.C.
• Marc Andrew Nordstrom, DMD PC
• Samantha J Noregaard, DPT
• North Star Counseling Services, LLC
• Northland Hearing Centers, Inc. (Crystal Clear Hearing Center)
• Northstar Neurology LLC
• Northwest Addiction Treatment LLC (Recover Together Bend)
• Northwest Addiction Treatment LLC (Recover Together Bend)
• Northwest Care LLC

• Orthopedic Physical Therapist in Bend, OR
• Providers in Bend, OR by specialty
• Orthopedic Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.