Outside Movement Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

OUTSIDE MOVEMENT PHYSICAL THERAPY

Practice address

1010 NW Harriman St
Bend, OR 97703-1912

Phone

(802) 318-2254

NPI assigned

Oct 12, 2020

Organization subpart

No

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

Authorized official

Name

Nicole Todisco, PT

Title

Owner/Physical Therapist

Phone

(802) 318-2254

Specialties & licenses 1

Addresses

Practitioners 1

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

• Nicole Todisco Macdonald, PT

  • Physical Therapist
  • Bend, OR
  • NPI 1285127571
  NPD

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602460800000",
    "number": "1871191981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 NE SHEPARD RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014164",
            "telephone_number": "802-318-2254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 NW HARRIMAN ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977031912",
            "telephone_number": "802-318-2254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTSIDE MOVEMENT PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-12",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A",
        "authorized_official_last_name": "TODISCO",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "802-318-2254",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Osmulski, MD
• Osprey Physical Therapy and Sports Medicine, LLC.
• Ann Ottesen, NP
• Eric Magnus Ottesen, RN
• James Kosta Otto
• Kelly Angela Overdorf
• Overland Speech and Swallowing Rehabilitation, LLC
• Cyndee S. Overland, L.AC., DIPL AC, DIPL
• Vencil J. Overland, D.C.
• Lindsey Renae Overstreet, LCSW

• 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 Oct 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.