Active NPI
Manning Physical Therapy
- Physical Therapist
- Bend, OR
National Provider Identifier
1619726262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mychal Manning, DPT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.