Jenmitolpt LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

JENMITOLPT LLC

Practice address

61859 Avonlea Cir
Bend, OR 97702-9345

Phone

(773) 368-8682

NPI assigned

Jan 30, 2025

Last updated

Jan 30, 2025By 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

Dr. Jennifer Mitol, PTNPI 1891029534

Title

Owner

Phone

(773) 368-8682

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Jennifer Mitol, PT

  • Orthopedic Physical Therapist
  • Redmond, OR
  • NPI 1891029534
  NPD Authorized official

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

{
    "created_epoch": "1738195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1407669617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61859 AVONLEA CIR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977029345",
            "telephone_number": "773-368-8682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61859 AVONLEA CIR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977029345",
            "telephone_number": "773-368-8682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENMITOLPT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-30",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A",
        "authorized_official_last_name": "MITOL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-368-8682",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kara Joan Jeffas, PMHNP
• Jeffrey a. Jones, O.D. LLC (Vision Solutions)
• Jeffrey T Craig, DC, PC
• Robert Andrew Jeffrey, DC
• Barbara A Jenkins Lehman, LPC
• Sherolyn J Jennart, PA-C
• Theodore Jennermann, MD
• Jennifer Brassfield Physical Therapy LLC
• Jennifer Finley L.Ac.
• Jennifer Weeks Ms LPC LLC (Jennifer Weeks Counseling, LLC)

• Physical Therapy Clinic/Center in Bend, OR
• Providers in Bend, OR by specialty
• Physical Therapy Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; 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.