Individual provider Active NPI

Katherine Wyrick, DO

  • Physical Medicine & Rehabilitation Physician
  • Bend, OR
National Provider Identifier
1609309376
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
OP61230744 Issued in WA
Practice address
2500 NE Neff Rd
Bend, OR 97701-6015
Phone
(541) 706-7725
Fax
(541) 706-3731
NPI assigned
Apr 9, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X OP61230744 WA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

2500 NE Neff Rd
Bend, OR 97701-6015

Mailing address

2100 S Tweedt St
Kennewick, WA 99338-2002
Phone (509) 599-3392

Other practice location 1

2201 45th St
West Palm Beach, FL 33407-2047
Phone (561) 863-3819

Other practice location 2

301 W Poplar St Ste 210
Walla Walla, WA 99362-2800
Phone (509) 897-8306

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kwyrick227977@secure.stcharleshealthcare.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220202001869 WA Practitioner - Physical Medicine and Rehabilitation 2163815739 Reassigns benefits to 1 organization
I20260129002546 OR Practitioner - Physical Medicine and Rehabilitation 2163815739 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Pacific NW Un of HS, Col of Osteopathic Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Charles Health System IncGroup PAC ID 8729111513, 379 clinicians

Practice addresses (Care Compare)

2200 NE Neff Rd
Bend, OR 97701-4283
Phone (541) 382-4321

Hospital & facility affiliations

  • Providence St Mary Medical Center Hospital, Walla Walla, WA, CCN 500002
  • St Charles Medical Center - Bend Hospital, Bend, OR, CCN 380047
  • Providence St Mary Medical Center Inpatient rehabilitation facility, Walla Walla, WA, CCN 50T002
  • St. Charles Medical Center Inpatient rehabilitation facility, Bend, OR, CCN 38T047

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services - Washington CurrentSince Jan 31, 2022 Accepting new patients
St. Charles Health System, Inc. CurrentSince Feb 23, 2026 Accepting new patients
St. Charles Health System, Inc. CurrentSince Feb 23, 2026 Accepting new patients
Providence Health & Services - Washington CurrentSince Jan 31, 2022 Accepting new patients
Providence Health & Services - Washington Past Accepting new patients
Providence Health & Services - Washington Past Accepting new patients

Locations

29358 Network Pl
Chicago, IL 60673

2200 NE Neff Rd
Bend, OR 97701
Phone (541) 322-2323

2500 NE Neff Rd
Bend, OR 97701
Phone (541) 388-4333

211 NW Larch Ave
Redmond, OR 97756
Phone (541) 548-2164

333 NW Larch Ave
Ste 110
Redmond, OR 97756

401 W Poplar St
Walla Walla, WA 99362
Phone (509) 522-5731

380 Chase Ave
Walla Walla, WA 99362
Phone (509) 526-3333

301 W Poplar St
Ste 210
Walla Walla, WA 99362
Phone (509) 522-5825

Interoperability endpoints

  • Direct secure messaging: kwyrick227977@secure.stcharleshealthcare.org
  • Direct secure messaging: kwyrick2063150@wm.providencedirect.org

Organizations & group practices 6

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1491696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1609309376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 S TWEEDT ST",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993382002",
            "telephone_number": "509-599-3392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NE NEFF RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016015",
            "telephone_number": "541-706-7725",
            "fax_number": "541-706-3731"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2201 45th St",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334072047",
            "country_code": "US",
            "telephone_number": "561-863-3819",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 W Poplar St Ste 210",
            "address_purpose": "LOCATION",
            "city": "Walla Walla",
            "state": "WA",
            "postal_code": "993622800",
            "country_code": "US",
            "telephone_number": "509-897-8306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WYRICK",
        "first_name": "KATHERINE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-09",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WA",
            "license": "OP61230744",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kwyrick227977@secure.stcharleshealthcare.org",
            "affiliation": "N",
            "address_1": "2500 NE Neff Rd",
            "city": "Bend",
            "state": "OR",
            "country_code": "US",
            "postal_code": "977016015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.