Individual provider Active NPI

Cole Manoukian, P.T.

  • Physical Therapist
  • Bend, OR
National Provider Identifier
1609348960
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
295922 Issued in CA
Practice address
2964 NE Stanton Ave Unit 1
Bend, OR 97701-6901
Phone
(818) 669-1741
NPI assigned
Dec 27, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 295922 CA Primary

Addresses

Primary practice location

2964 NE Stanton Ave Unit 1
Bend, OR 97701-6901

Mailing address

PO Box 1295
Venice, CA 90294-1295
Phone (888) 859-0145

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aegis Group Practice LLC Physical Therapist CurrentSince Sep 10, 2024 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince May 13, 2024 Accepting new patients
Rebound Physical Therapy Limited Partnership Physical Therapist CurrentSince May 1, 2023 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince May 13, 2024 Accepting new patients
California Luna Care Physical Therapy PC Physical Therapist CurrentSince Mar 3, 2020 Accepting new patients
Aegis Group Practice LLC Physical Therapist CurrentSince Sep 10, 2024 Accepting new patients
Rebound Physical Therapy Limited Partnership Physical Therapist CurrentSince May 1, 2023 Accepting new patients
Step Ahead Physical Therapy, Inc. Physical Therapist PastSince Aug 16, 2004 Accepting new patients

Locations

4933 Old Greenwood Rd
Fort Smith, AR 72903

16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108

5800 Lonetree Blvd
Rocklin, CA 95765

1303 NE Cushing Dr
Ste 150
Bend, OR 97701
Phone (541) 382-7875

805 SW Industrial Way
Ste 3
Bend, OR 97702
Phone (541) 323-5864

377 NW Jasper St
Dallas, OR 97338
Phone (503) 623-1777

1717 NE 2nd St
Redmond, OR 97756
Phone (541) 332-9045

4254 Weathers St NE
Salem, OR 97301
Phone (503) 393-3624

Organizations & group practices 8

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": "1545868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1609348960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1295",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902941295",
            "telephone_number": "888-859-0145",
            "fax_number": "888-858-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2964 NE STANTON AVE UNIT 1",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016901",
            "telephone_number": "818-669-1741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANOUKIAN",
        "first_name": "COLE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-27",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "295922",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 24, 2023; 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.