Active NPI
Momentum Physical Therapy, LLC
- Orthopedic Physical Therapist
- Bend, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 03932
- Legal business name
- MOMENTUM PHYSICAL THERAPY, LLC
- Practice address
- 19134 Currier Dr
Bend, OR 97702 - Phone
- (541) 639-9770
- Fax
- (541) 919-1839
- NPI assigned
- Sep 19, 2012
- Last updated
- Jan 26, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Melanie Andrea Embree, PT, OCS, CSCS
- Title
- Physical Therapist/S&C Coach
- Phone
- (541) 639-9770
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 03932 | OR | Primary |
| Physical Therapy Clinic/Center | 261QP2000X | 3932 | OR |
Addresses
Primary practice location
19134 Currier Dr
Bend, OR 97702
Mailing address
19134 Currier Dr
Bend, OR 97702
Phone (541) 639-9770
National Provider Directory
National Provider DirectoryLocations
2700 NE 4th St
Ste 240
Bend, OR 97701
Phone (541) 382-9268
401 SE Roosevelt Ave
Bend, OR 97702
Phone (541) 639-3770
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Orthopedic Physical Therapist
- Bend, OR
- NPI 1083802409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348012800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1485388800000",
"number": "1497005243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19134 CURRIER DR",
"city": "BEND",
"state": "OR",
"postal_code": "97702",
"telephone_number": "541-639-9770",
"fax_number": "541-919-1839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19134 CURRIER DR",
"city": "BEND",
"state": "OR",
"postal_code": "97702",
"telephone_number": "541-639-9770",
"fax_number": "541-919-1839"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOMENTUM PHYSICAL THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-19",
"last_updated": "2017-01-26",
"status": "A",
"authorized_official_last_name": "EMBREE",
"authorized_official_first_name": "MELANIE",
"authorized_official_middle_name": "ANDREA",
"authorized_official_title_or_position": "PHYSICAL THERAPIST/S&C COACH",
"authorized_official_telephone_number": "541-639-9770",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "PT, OCS, CSCS"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist, Orthopedic",
"state": "OR",
"license": "03932",
"primary": true
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "OR",
"license": "3932",
"primary": false
}
],
"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 Jan 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.