Individual provider Active NPI

Joseph Manoles, PT, DPT

  • Physical Therapist
  • Bend, OR
National Provider Identifier
1730914581
Registry record updated Nov 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
65448 Issued in OR
Practice address
222 SE Reed Market Rd
Bend, OR 97702-2238
Phone
(541) 215-8155
NPI assigned
Sep 3, 2024
Last updated
Nov 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 65448 OR Primary

Addresses

Primary practice location

222 SE Reed Market Rd
Bend, OR 97702-2238

Mailing address

20890 Nova Loop Unit 1
Bend, OR 97701-9885
Phone (541) 215-8155

Other practice location 1

20890 Nova Loop Unit 1
Bend, OR 97701-9885
Phone (952) 564-5796

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250502001450 OR Practitioner - Physical Therapist in Private Practice 0941726939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alpine Physical Therapy and Wellness Center IncGroup PAC ID 5799835435, 8 clinicians

Practice addresses (Care Compare)

2546 NE Conners Ave
Suite 110
Bend, OR 97701-6761
Phone (541) 382-5500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
65448ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alpine Physical Therapy and Wellness Center Inc Physical Therapist CurrentSince Apr 1, 2025 Accepting new patients

Locations

2546 NE Conners Ave
Ste 110
Bend, OR 97701
Phone (541) 382-5500

336 SW Cyber Dr
Ste 107
Bend, OR 97702
Phone (541) 382-5500

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1725321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731715200000",
    "number": "1730914581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20890 NOVA LOOP UNIT 1",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977019885",
            "telephone_number": "541-215-8155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 SE REED MARKET RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977022238",
            "telephone_number": "541-215-8155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20890 Nova Loop Unit 1",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977019885",
            "country_code": "US",
            "telephone_number": "952-564-5796",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANOLES",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-03",
        "last_updated": "2024-11-16",
        "certification_date": "2024-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "65448",
            "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 16, 2024; 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.