Capacity Performance Therapy

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

CAPACITY PERFORMANCE THERAPY

Practice address

61125 Lodgepole Dr.
Bend, OR 97702

Phone

(541) 224-7485

NPI assigned

Jan 21, 2020

Last updated

Jan 21, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Nicholas Donald Hagen, PT

Title

Director Capacity Performance Thera

Phone

(541) 224-7485

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579564800000",
    "number": "1497385215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61125 LODGEPOLE DR.",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97702",
            "telephone_number": "541-224-7485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61125 LODGEPOLE DR.",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97702",
            "telephone_number": "541-224-7485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPACITY PERFORMANCE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-21",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A",
        "authorized_official_last_name": "HAGEN",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "DIRECTOR CAPACITY PERFORMANCE THERA",
        "authorized_official_telephone_number": "541-224-7485",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie M Canfield
• Sara Anne Cannalonga, M.S. CF-SLP
• Christina L Cannon, RADT
• Arthur S Cantor, M.D.
• Phuong Cao, D.O.
• Bradley Howard Capp, MS, DC
• Sandra Lee Capp, D.C.
• Hayley Nichole Caputo
• Jade Carboy, NP
• Jourdan Ariss Carboy, MD

• Physical Medicine & Rehabilitation Physician in Bend, OR
• Providers in Bend, OR by specialty
• Physical Medicine & Rehabilitation Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2020; 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.