Active NPI
Annette Marie Paoli, PT
- Physical Therapist
- Bend, OR
National Provider Identifier
1740339746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3951
- Practice address
- 2565 NE Butler Market Rd Ste 2
Bend, OR 97701-1587 - Phone
- (541) 382-9268
- Fax
- (541) 382-6497
- NPI assigned
- Jan 9, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 3951 | OR | Primary |
Addresses
Primary practice location
2565 NE Butler Market Rd Ste 2
Bend, OR 97701-1587
Mailing address
2565 NE Butler Market Rd Ste 2
Bend, OR 97701-1587
Phone (541) 382-9268
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joint Efforts Physical Therapy, Inc. | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Bend, OR
- NPI 1922157007
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1740339746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2565 NE BUTLER MARKET RD STE 2",
"city": "BEND",
"state": "OR",
"postal_code": "977011587",
"telephone_number": "541-382-9268",
"fax_number": "541-382-6497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2565 NE BUTLER MARKET RD STE 2",
"city": "BEND",
"state": "OR",
"postal_code": "977011587",
"telephone_number": "541-382-9268",
"fax_number": "541-382-6497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAOLI",
"first_name": "ANNETTE",
"middle_name": "MARIE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-09",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "3951",
"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 Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.