Active NPI
Adaline Beeson Towle, MSPT
- Physical Therapist
- Bend, OR
National Provider Identifier
1679780779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6186
- Practice address
- 1876 NE Highway 20
Bend, OR 97701-4833 - Phone
- (973) 222-1174
- NPI assigned
- May 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6186 | OR | Primary |
Addresses
Primary practice location
1876 NE Highway 20
Bend, OR 97701-4833
Mailing address
1828 NW Awbrey Rd
Unit #1
Bend, OR 97701-1886
Phone (973) 222-1174
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6186 | OR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322611200000",
"number": "1679780779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1828 NW AWBREY RD",
"address_2": "UNIT #1",
"city": "BEND",
"state": "OR",
"postal_code": "977011886",
"telephone_number": "973-222-1174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1876 NE HIGHWAY 20",
"city": "BEND",
"state": "OR",
"postal_code": "977014833",
"telephone_number": "973-222-1174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOWLE",
"first_name": "ADALINE",
"middle_name": "BEESON",
"name_prefix": "Miss",
"credential": "MSPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-17",
"last_updated": "2011-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "6186",
"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 Nov 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.