Individual provider Active NPI

Jennifer Lisa McAteer, PT, DPT

  • Physical Therapist
  • Bend, OR
National Provider Identifier
1467767384
Registry record updated Nov 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
61426 Issued in OR
Practice address
1740 NW Pence LN Ste 5
Bend, OR 97703-6743
Phone
(541) 306-1099
Fax
(541) 797-5016
NPI assigned
Aug 16, 2010
Last updated
Nov 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2018

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 61426 OR Primary

Addresses

Primary practice location

1740 NW Pence LN Ste 5
Bend, OR 97703-6743

Mailing address

1740 NW Pence LN Ste 5
Bend, OR 97703-6743
Phone (541) 306-1099

Other practice location 1

1315 NW 4th St
Suite B
Redmond, OR 97756-1328
Phone (541) 504-2350

Other identifiers 1

IdentifierTypeStateIssuer
500695960MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151125000429 OR Practitioner - Physical Therapist in Private Practice 3577755743 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Resolve Physical TherapyGroup PAC ID 5991042616, 7 clinicians

Practice addresses (Care Compare)

1740 NW Pence LN
Suite 5
Bend, OR 97703-6743
Phone (541) 306-1099

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Resolve Physical Therapy Physical Therapist CurrentSince Oct 23, 2018 Accepting new patients
Promotion Physical Therapy Past Accepting new patients

Locations

1740 NW Pence Ln
Ste 5
Bend, OR 97703
Phone (541) 306-1099

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1281916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542326400000",
    "number": "1467767384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 NW PENCE LN STE 5",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977036743",
            "telephone_number": "541-306-1099",
            "fax_number": "541-797-5016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 NW PENCE LN STE 5",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977036743",
            "telephone_number": "541-306-1099",
            "fax_number": "541-797-5016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1315 NW 4th St",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Redmond",
            "state": "OR",
            "postal_code": "977561328",
            "country_code": "US",
            "telephone_number": "541-504-2350",
            "fax_number": "541-504-2354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCATEER",
        "first_name": "JENNIFER",
        "middle_name": "LISA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-16",
        "last_updated": "2018-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "61426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500695960",
            "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 Nov 16, 2018; 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.