Results Neck & Back Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

6205 Issued in OR

Legal business name

RESULTS NECK & BACK THERAPY LLC

Practice address

730 SW Bonnett Way
Suite 3100
Bend, OR 97702-1192

Phone

(541) 797-6316

Fax

(541) 797-6319

NPI assigned

Jan 29, 2016

Organization subpart

No

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

Authorized official

Name

Kevin Bourlai, PTNPI 1588604649

Title

PT, Owner/Manager

Phone

(808) 283-4139

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin J. Bourlai, PT

  • Physical Therapist
  • Bend, OR
  • NPI 1588604649
  Medicare reassignment Care Compare group NPD Authorized official
• Lesley L Berger, PT

  • Physical Therapist
  • Bend, OR
  • NPI 1588915623
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1454025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456012800000",
    "number": "1740648245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20403 BUTTERMILK",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977029490",
            "telephone_number": "541-797-6316",
            "fax_number": "541-797-6319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 SW BONNETT WAY",
            "address_2": "SUITE 3100",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021192",
            "telephone_number": "541-797-6316",
            "fax_number": "541-797-6319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESULTS NECK & BACK THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-29",
        "last_updated": "2016-02-21",
        "status": "A",
        "authorized_official_last_name": "BOURLAI",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PT, OWNER/MANAGER",
        "authorized_official_telephone_number": "808-283-4139",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OR",
            "license": "6205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500645456",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500650825",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI, INDIVIDUAL",
            "identifier": "1588915623",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI, INDIVIDUAL",
            "identifier": "1588604649",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Bend, OR
• Providers in Bend, OR by specialty
• Physical Therapy Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2016; 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.