Mandon P Welch, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5361 Issued in OR

Practice address

2753 NW Lolo Dr
Bend, OR 97703-7288

Phone

(541) 728-3412

NPI assigned

Apr 4, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Low Five Productions LLCGroup PAC ID 0840551784, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Low Five Productions, LLC

  • Physical Therapy Clinic/Center
  • Bend, OR
  • NPI 1558861823

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1417079088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21090 VIA SANDIA",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977029588",
            "telephone_number": "541-728-3412",
            "fax_number": "541-728-3412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2753 NW LOLO DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977037288",
            "telephone_number": "541-728-3412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1160 SW Industrial Way",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977023542",
            "country_code": "US",
            "telephone_number": "541-322-9045",
            "fax_number": "541-322-9044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELCH",
        "first_name": "MANDON",
        "middle_name": "P",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "5361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274467",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wendy Weintrob, N.D.,L.AC.
• Lynn Joyce Weisner, BS, CADC I, CGAC I
• Alexander E Weiss, MA, LPC, NCC
• Melissa Weiss, RDN
• Garrett Welch, DDS
• Tianna L Welch, PA-C
• Ashley Kalea Welker
• Brad Devin Welker, D.C.
• Heather Kristine Welker, O.T.
• Wellbody Therapeutics, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.