Momentum Physical Therapy, LLC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

03932 Issued in OR

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

Organization subpart

No

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

Specialties & licenses 2

Addresses

Locations

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": []
}

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• Travis Louis Monchamp, MD
• Janaye Arielle Monet, CSWA
• Meghan Patricia Monfort

• Orthopedic Physical Therapist in Bend, OR
• Providers in Bend, OR by specialty
• Orthopedic Physical Therapist in Oregon

• 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.

Verify at the official NPI Registry.