Joyce Lynn Chadderdon, PT, DPT, NCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

2312 S 6TH St Ste B
Klamath Falls, OR 97601-4340

Phone

(541) 236-2123

Fax

(888) 706-1637

NPI assigned

Jul 15, 2020

Last updated

Aug 5, 2020By 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 names 1

• Joyce Lynn Fabisiak Former name

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

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.

• Life Out Loud, LLC

  dba Elevate Physical Therapy Fitness and Performance

  • Physical Therapist
  • Klamath Falls, OR
  • NPI 1952947616
  Medicare reassignment NPD
• Bodyworks Physical Therapy Orthopedic and Sports Rehab

  dba BodyWorks Physical Therapy Orthopedic & Sports Rehab

  • Physical Medicine & Rehabilitation Physician
  • Klamath Falls, OR
  • NPI 1992353668

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1710595806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2312 S 6TH ST STE B",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976014340",
            "telephone_number": "541-236-2123",
            "fax_number": "888-706-1637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2312 S 6TH ST STE B",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976014340",
            "telephone_number": "541-236-2123",
            "fax_number": "888-706-1637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHADDERDON",
        "first_name": "JOYCE",
        "middle_name": "LYNN",
        "credential": "PT, DPT, NCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-15",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOYCE",
            "last_name": "FABISIAK",
            "middle_name": "LYNN",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eric E Cavanaugh
• Center for Vaginal Excellence
• Century Aviation Inc
• Tracy Cerri, QMHA
• Miguel Cezares Hernandez, PSS
• Kate Lynn Chaney, MSPAS, PA-C
• Changing Leads Counseling LLC
• Hajra Channa
• Chelsey Marie Chapman, PA-C
• Jaylene Kaye Chapman

• Physical Therapist in Klamath Falls, OR
• Providers in Klamath Falls, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; 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.