Active NPI
Michele McNulty Farneth, P.T.
- Physical Therapist
- Bend, OR
National Provider Identifier
1457632952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4694
- Practice address
- 60929 Summerwood Way
Bend, OR 97702-2783 - Phone
- (541) 678-3263
- NPI assigned
- Aug 29, 2011
- Last updated
- Aug 29, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4694 | OR | Primary |
Addresses
Primary practice location
60929 Summerwood Way
Bend, OR 97702-2783
Mailing address
60929 Summerwood Way
Bend, OR 97702-2783
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4694 | OR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314576000000",
"number": "1457632952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60929 SUMMERWOOD WAY",
"city": "BEND",
"state": "OR",
"postal_code": "977022783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60929 SUMMERWOOD WAY",
"city": "BEND",
"state": "OR",
"postal_code": "977022783",
"telephone_number": "541-678-3263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARNETH",
"first_name": "MICHELE",
"middle_name": "MCNULTY",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-29",
"last_updated": "2011-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "4694",
"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 Aug 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.