Bend Physical Therapy Associates

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

BEND PHYSICAL THERAPY ASSOCIATES

Practice address

2200 NE Neff Rd
Suite 202
Bend, OR 97701-4283

Phone

(541) 388-7738

Fax

(541) 312-0121

NPI assigned

Dec 19, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Todd Robert Gifford, PT

Title

Coo

Phone

(800) 219-8835

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• TAI Central Oregon Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Therapeutic Associates, Inc

  • Physical Therapist
  • Bend, OR
  • NPI 1659688778

  O20100930080909

  Same enrollment

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• St. Charles Health System, Inc.

  • Critical Access Hospital
  • Madras, OR
  • NPI 1356389894

  Member Of

  NPD member

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283990400000",
    "number": "1891771192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11481 SW HALL BLVD",
            "address_2": "SUITE 201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972238403",
            "telephone_number": "800-219-8835",
            "fax_number": "503-639-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 NE NEFF RD",
            "address_2": "SUITE 202",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014283",
            "telephone_number": "541-388-7738",
            "fax_number": "541-312-0121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEND PHYSICAL THERAPY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-19",
        "last_updated": "2010-09-09",
        "status": "A",
        "authorized_official_last_name": "GIFFORD",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "800-219-8835",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP",
            "identifier": "244741800",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TAI Central Oregon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bend Ophthalmology
• Bend Oral, Facial, and Implant Surgery
• Bend Osteopathic Care, PC
• Bend Pediatrics LLC
• Bend Physical Therapy Associates
• Bend Plastic & Reconstructive Surgery, LLC
• Bend Plastic & Reconstructive Surgery, P.C.
• Bend Senior Care Management LLC
• Bend Somatic Counseling LTD.
• Bend Sovereign Wellness LLC

• Physical Therapist in Bend, OR
• Providers in Bend, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; 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.