Individual provider Active NPI

Steven Tasson, DPT

  • Physical Therapist
  • Bend, OR
National Provider Identifier
1710434154
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
64290 Issued in OR
Practice address
2753 NW Lolo Dr
Bend, OR 97703-7288
Phone
(541) 728-3412
Fax
(541) 610-1504
NPI assigned
Sep 1, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2123907 TX
Physical Therapist 225100000X 64290 OR Primary

Addresses

Primary practice location

2753 NW Lolo Dr
Bend, OR 97703-7288

Mailing address

21090 Via Sandia
Bend, OR 97702-9588
Phone (541) 728-3412

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231021000110 TX Practitioner - Physical Therapist in Private Practice 2264824028 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiologic, LLCGroup PAC ID 5597152090, 10 clinicians

Practice addresses (Care Compare)

709 N FM
1187 Suite 500
Aledo, TX 76008-4338
Phone (682) 553-1913

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2123907TXMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Physiologic, LLC Physical Therapist CurrentSince Mar 3, 2025 Accepting new patients
Sportherapy LLC Physical Therapist CurrentSince Jul 26, 2023 Accepting new patients
Sportherapy Southwest, PC Physical Therapist PastSince Jul 26, 2023 Accepting new patients

Locations

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

709 N FM 1187
Ste 500
Aledo, TX 76008
Phone (682) 553-1913

11909 Preston Rd
Ste 1482
Dallas, TX 75230
Phone (214) 446-1601

4108 Boat Club Rd
Lake Worth, TX 76135
Phone (817) 238-9295

965 Hilltop Dr
Weatherford, TX 76086
Phone (817) 370-9891

Organizations & group practices 3

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": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1710434154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21090 VIA SANDIA",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977029588",
            "telephone_number": "541-728-3412",
            "fax_number": "541-610-1504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2753 NW LOLO DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977037288",
            "telephone_number": "541-728-3412",
            "fax_number": "541-610-1504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TASSON",
        "first_name": "STEVEN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-01",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2123907",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "64290",
            "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 Jan 13, 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.