Active NPI
Cathey Mae Kahlie, MS PT
- Physical Therapist
- Bend, OR
National Provider Identifier
1508919838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2365
- Practice address
- 336 SW Cyber Dr
Suite 107
Bend, OR 97702 - Phone
- (541) 382-5500
- Fax
- (541) 389-5669
- NPI assigned
- Jan 19, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2365 | OR | Primary |
Addresses
Primary practice location
336 SW Cyber Dr
Suite 107
Bend, OR 97702
Mailing address
2275 NE Doctors Dr
Suite 3
Bend, OR 97701-6324
Phone (541) 382-5500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 274012 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2365 | OR | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy Works, Inc | Physical Therapist | Past | Accepting new patients |
| Alpine Physical Therapy and Wellness Center Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- Bend, OR
- NPI 1003058363
-
- Physical Therapist
- Redmond, OR
- NPI 1740031285
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338336000000",
"number": "1508919838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2275 NE DOCTORS DR",
"address_2": "SUITE 3",
"city": "BEND",
"state": "OR",
"postal_code": "977016324",
"telephone_number": "541-382-5500",
"fax_number": "541-389-5669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "336 SW CYBER DR",
"address_2": "SUITE 107",
"city": "BEND",
"state": "OR",
"postal_code": "97702",
"telephone_number": "541-382-5500",
"fax_number": "541-389-5669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAHLIE",
"first_name": "CATHEY",
"middle_name": "MAE",
"name_prefix": "Mrs.",
"credential": "MS PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-19",
"last_updated": "2012-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "2365",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "274012",
"state": "OR"
}
],
"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 May 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.