Individual provider Active NPI

Shawndi L Stahl, PT, MPT, NCS

  • Physical Therapist
  • Bend, OR
National Provider Identifier
1508181546
Registry record updated Oct 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4245 Issued in OR
Practice address
55 NW Wall St
Suite 100
Bend, OR 97701-3200
Phone
(541) 389-4321
Fax
(541) 389-4420
NPI assigned
Apr 1, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4245 OR Primary
Neurology Physical Therapist 2251N0400X 4245 OR

Addresses

Primary practice location

55 NW Wall St
Suite 100
Bend, OR 97701-3200

Mailing address

55 NW Wall St
Suite 100
Bend, OR 97701-3200
Phone (541) 389-4321

Other names 1

  • Shawndi L Wright Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100611000201 OR Practitioner - Physical Therapist in Private Practice 6103956529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Falling Waters LLC 7 clinicians

Practice addresses (Care Compare)

55 NW Wall St
Suite 100
Bend, OR 97703-3200
Phone (541) 389-4321

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4245ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Falling Waters LLC CurrentSince Jun 21, 2010 Accepting new patients

Locations

55 NW Wall St
Ste 100
Bend, OR 97703
Phone (541) 389-4321

160 SW Scalehouse Loop
Ste 160
Bend, OR 97702
Phone (541) 312-4316

Organizations & group practices 1

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": "1270080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382572800000",
    "number": "1508181546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 NW WALL ST",
            "address_2": "SUITE 100",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977013200",
            "telephone_number": "541-389-4321",
            "fax_number": "541-389-4420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 NW WALL ST",
            "address_2": "SUITE 100",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977013200",
            "telephone_number": "541-389-4321",
            "fax_number": "541-389-4420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAHL",
        "first_name": "SHAWNDI",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "PT, MPT, NCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-01",
        "last_updated": "2013-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "4245",
            "primary": true
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "OR",
            "license": "4245",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAWNDI",
            "last_name": "WRIGHT",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Oct 24, 2013; 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.