Individual provider Active NPI

Alana C Vernon, PT, DPT

  • Physical Therapist
  • Sisters, OR
National Provider Identifier
1629638952
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
63291 Issued in OR
Practice address
392 W Main Ave
Sisters, OR 97759-0439
Phone
(541) 316-0805
Fax
(541) 241-7670
NPI assigned
Jun 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 63291 OR Primary
Orthopedic Physical Therapist 2251X0800X 63291 OR

Addresses

Primary practice location

392 W Main Ave
Sisters, OR 97759-0439

Mailing address

371 SW Upper Terrace Dr Ste 3
Bend, OR 97702-1560
Phone (541) 316-0805

Other practice location 1

371 SW Upper Terrace Dr Ste 3
Bend, OR 97702-1560
Phone (541) 316-0805

Other names 1

  • Alana Leet Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191010001689 OR Practitioner - Physical Therapist in Private Practice 1052642741 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
63291ORMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Physical Therapy of Oregon LLC Physical Therapist Current Accepting new patients
Benchmark Physical Therapy of Or, LLC Physical Therapist CurrentSince Jan 13, 2020 Accepting new patients
Aspire Physical Therapy LLC Physical Therapist CurrentSince Nov 1, 2022 Accepting new patients
Benchmark Physical Therapy of Oregon LLC Physical Therapist CurrentSince Jan 13, 2020 Accepting new patients
Aspire Physical Therapy LLC Physical Therapist CurrentSince Nov 6, 2022 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

371 SW Upper Terrace Dr
Ste 3
Bend, OR 97702
Phone (541) 316-0805

170 Scalehouse Loop
Ste 100
Bend, OR 97702
Phone (541) 316-0805

1777 Coburg Rd
Ste 3
Eugene, OR 97401
Phone (541) 505-8041

440 1st St
Lake Oswego, OR 97034
Phone (503) 744-4826

3007 NE West Devils Lake Rd
Lincoln City, OR 97367
Phone (541) 994-6252

3512 Excel Dr
Ste 105
Medford, OR 97504
Phone (541) 245-0419

365 Westfield St
Silverton, OR 97381
Phone (503) 873-6111

625 N Arrowleaf Trl
Bldg G
Sisters, OR 97759
Phone (541) 568-6848

Organizations & group practices 5

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": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1629638952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "371 SW UPPER TERRACE DR STE 3",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021560",
            "telephone_number": "541-316-0805",
            "fax_number": "541-241-7670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "392 W MAIN AVE",
            "city": "SISTERS",
            "state": "OR",
            "postal_code": "977590439",
            "telephone_number": "541-316-0805",
            "fax_number": "541-241-7670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "371 SW Upper Terrace Dr Ste 3",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977021560",
            "country_code": "US",
            "telephone_number": "541-316-0805",
            "fax_number": "541-241-7670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VERNON",
        "first_name": "ALANA",
        "middle_name": "C",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-18",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "63291",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OR",
            "license": "63291",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALANA",
            "last_name": "LEET",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sisters, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.