Rebound Physical Therapy, LLC
Organization Active NPI Physical Therapist · Bend, OR
NPI 1730209404 · NPPES record last updated May 5, 2009
Key facts
- NPI
- 1730209404
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- REBOUND PHYSICAL THERAPY, LLC
- Practice address
- 1303 NE Cushing Dr
Suite 150
Bend, OR 97701-3887 - Phone
- (541) 382-7875
- Fax
- (541) 382-2181
- NPI assigned
- Mar 29, 2007
- Organization subpart
- No
Authorized official
- Name
- Jennifer Richardson
- Title
- Compliance Coordinator
- Phone
- (541) 585-2529
Corporate family (same tax ID) 3
National Provider Directory
- Tax ID family
- Rebound Physical Therap
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist |
171100000X | |||
| Physical Therapist |
225100000X | 0965535-8 | OR | |
| Physical Therapist |
225100000X | Yes | ||
| Hand Occupational Therapist |
225XH1200X | 0965535-8 | OR |
Addresses
Primary practice location
1303 NE Cushing Dr
Suite 150
Bend, OR 97701-3887
Mailing address
805 SW Industrial Way
Suite 3
Bend, OR 97702-1093
Phone (541) 585-2529
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 234859 | Medicaid | OR |
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.