Active NPI
Shawndi L Stahl, PT, MPT, NCS
- Physical Therapist
- Bend, OR
National Provider Identifier
1508181546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4245
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4245 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Falling Waters LLC | Current | 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.