Shana Brooks, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4276 Issued in OR

Practice address

1239 NE Medical Center Dr Ste 200
Bend, OR 97701-7359

Phone

(541) 385-3344

Fax

(541) 312-5256

NPI assigned

Nov 15, 2005

Last updated

Sep 28, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Shana Sleggs Former name

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Focus Physical Therapy, Inc.Group PAC ID 9739113143, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Focus Physical Therapy, Inc.

  • Physical Therapist
  • Bend, OR
  • NPI 1104961978
  Medicare reassignment Care Compare group NPD
• Alpine Physical Therapy and Wellness Center Inc

  dba Alpine Physical Therapy

  • Physical Therapist
  • Bend, OR
  • NPI 1003058363
  NPD (past)
• Healing Bridge Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Bend, OR
  • NPI 1558344531
  NPD (past)

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1679555700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1239 NE MEDICAL CENTER DR STE 200",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977017359",
            "telephone_number": "541-385-3344",
            "fax_number": "541-312-5256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1239 NE MEDICAL CENTER DR STE 200",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977017359",
            "telephone_number": "541-385-3344",
            "fax_number": "541-312-5256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "SHANA",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-15",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "4276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFIC SOURCE",
            "identifier": "H254805",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182550",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDENCE",
            "identifier": "331581",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "5512826",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "804449004",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANA",
            "last_name": "SLEGGS",
            "credential": "MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Broken Top Counseling, LLC
• Brookdale Senior Living Communities, Inc. (Brookdale Bend)
• Eva Averie Brookie, LMHC, LPC, CRC
• Joshua Brooks, PA-C
• Kristin Brooks, PMHNP
• Mary Stewart Brothers, RN
• Steven Matthew Brower
• Avian Paige Brown
• Beth Brown, LPC,LMFT
• Brittany Alexis Brown

• Physical Therapist in Bend, OR
• Providers in Bend, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.