Active NPI
Alexander Michael Green, DPT, PT
- Physical Therapist
- Bend, OR
National Provider Identifier
1760390397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 66228
- Practice address
- 1342 NE Medical Center Dr Ste 150
Bend, OR 97701-5919 - Phone
- (541) 382-7875
- Fax
- (541) 382-2181
- NPI assigned
- Sep 1, 2026
- Sex
- Male
- 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 | 66228 | OR | Primary |
Addresses
Primary practice location
1342 NE Medical Center Dr Ste 150
Bend, OR 97701-5919
Mailing address
805 SW Industrial Way Ste 3
Bend, OR 97702-1093
Phone (541) 382-7875
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1760390397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 SW INDUSTRIAL WAY STE 3",
"city": "BEND",
"state": "OR",
"postal_code": "977021093",
"telephone_number": "541-382-7875",
"fax_number": "541-382-2181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1342 NE MEDICAL CENTER DR STE 150",
"city": "BEND",
"state": "OR",
"postal_code": "977015919",
"telephone_number": "541-382-7875",
"fax_number": "541-382-2181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "ALEXANDER",
"middle_name": "MICHAEL",
"credential": "DPT, PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-01",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "66228",
"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 Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.