Organization Active NPI

Physio Kids LLC

  • Physical Therapy Clinic/Center
  • Bend, OR
National Provider Identifier
1457136293
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PHYSIO KIDS LLC
Practice address
19820 Village Office CT Ste 201
Bend, OR 97702-2949
Phone
(541) 410-6132
Fax
(541) 209-4619
NPI assigned
Aug 29, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Authorized official

Name
Jamie Krefting, PT, DPTNPI 1033676424
Title
PT/Owner
Phone
(970) 759-6077

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

19820 Village Office CT Ste 201
Bend, OR 97702-2949

Mailing address

19820 Village Office CT Ste 201
Bend, OR 97702-2949
Phone (541) 410-6132

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1693267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1457136293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19820 VILLAGE OFFICE CT STE 201",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977022949",
            "telephone_number": "541-410-6132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19820 VILLAGE OFFICE CT STE 201",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977022949",
            "telephone_number": "541-410-6132",
            "fax_number": "541-209-4619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIO KIDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-29",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A",
        "authorized_official_last_name": "KREFTING",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "PT/OWNER",
        "authorized_official_telephone_number": "970-759-6077",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 18, 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.