Individual provider Active NPI

Jennifer Elaine Troth, MPT

  • Physical Therapist
  • Bend, OR
National Provider Identifier
1467434597
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4275 Issued in OR
Practice address
404 NE Penn Ave
Bend, OR 97701-4264
Phone
(541) 318-7041
Fax
(541) 388-3711
NPI assigned
Nov 15, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4275 OR Primary

Addresses

Primary practice location

404 NE Penn Ave
Bend, OR 97701-4264

Mailing address

404 NE Penn Ave
Bend, OR 97701-4264
Phone (541) 318-7041

Other identifiers 2

IdentifierTypeStateIssuer
182423MedicaidOR
H254804OtherORPACIFIC SOURCE

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

LicenseStateTypeSpecialty
4275ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Bridge Physical Therapy Inc Past Accepting new patients
Mobile Physical Therapy, LLC Physical Therapist PastSince Sep 1, 2009 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1467434597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 NE PENN AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014264",
            "telephone_number": "541-318-7041",
            "fax_number": "541-388-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 NE PENN AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014264",
            "telephone_number": "541-318-7041",
            "fax_number": "541-388-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROTH",
        "first_name": "JENNIFER",
        "middle_name": "ELAINE",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "4275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182423",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFIC SOURCE",
            "identifier": "H254804",
            "state": "OR"
        }
    ],
    "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 Jul 13, 2026; 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.