Individual provider Active NPI

Marie Elizabeth Whitaker, DPT

  • Physical Therapist
  • Sisters, OR
National Provider Identifier
1780845487
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5652 Issued in OR
Practice address
325 N Locust St
Sisters, OR 97759-5047
Phone
(541) 549-3534
Fax
(541) 549-1272
NPI assigned
Jun 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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 5652 OR Primary

Addresses

Primary practice location

325 N Locust St
Sisters, OR 97759-5047

Mailing address

PO Box 1911
Sisters, OR 97759-1911
Phone (541) 549-3534

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120511000484 OR Practitioner - Physical Therapist in Private Practice 5496918310 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

813 SW Highland Ave
Suite 201
Redmond, OR 97756-3103
Phone (541) 699-9661

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5652ORMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Whitaker Restorative Physical Therapy LLC Physical Therapist CurrentSince Mar 30, 2024 Accepting new patients
Hands on Physical Therapy, PC Past Accepting new patients

Locations

813 SW Highland Ave
Ste 201
Redmond, OR 97756
Phone (541) 699-7379

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1780845487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1911",
            "city": "SISTERS",
            "state": "OR",
            "postal_code": "977591911",
            "telephone_number": "541-549-3534",
            "fax_number": "541-549-1272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 N LOCUST ST",
            "city": "SISTERS",
            "state": "OR",
            "postal_code": "977595047",
            "telephone_number": "541-549-3534",
            "fax_number": "541-549-1272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITAKER",
        "first_name": "MARIE",
        "middle_name": "ELIZABETH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-24",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "5652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sisters, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.