Organization Active NPI

Manning Physical Therapy

  • Physical Therapist
  • Bend, OR
National Provider Identifier
1619726262
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MANNING PHYSICAL THERAPY
Practice address
1105 SE Centennial St
Bend, OR 97702-1343
Phone
(541) 209-6729
Fax
(541) 605-3286
NPI assigned
May 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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

Authorized official

Name
Mychal Manning, DPTNPI 1366798068
Title
Owner/Physical Therapy
Phone
(541) 209-6729

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1105 SE Centennial St
Bend, OR 97702-1343

Mailing address

20460 Del Coco CT
Bend, OR 97702-9414
Phone (949) 290-5193

Other names 1

  • MOVE Physical Therapy and Wellness Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240809003267 OR Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6507304433 Receives reassigned benefits from 2 practitioners
Practice locations: Bend, OR

National Provider Directory

National Provider Directory

Locations

1725 SW Chandler Ave
Ste 102
Bend, OR 97702
Phone (458) 600-9345

1105 SE Centennial St
Bend, OR 97702
Phone (541) 209-6729

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1715817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767916800000",
    "number": "1619726262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20460 DEL COCO CT",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977029414",
            "telephone_number": "949-290-5193",
            "fax_number": "541-605-3286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 SE CENTENNIAL ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021343",
            "telephone_number": "541-209-6729",
            "fax_number": "541-605-3286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANNING PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-16",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A",
        "authorized_official_last_name": "MANNING",
        "authorized_official_first_name": "MYCHAL",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPY",
        "authorized_official_telephone_number": "541-209-6729",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOVE Physical Therapy and Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MOVE Physical Therapy and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.