NPIMap

Organization Active NPI

Hands on Physical Therapy, PC

  • Orthopedic Physical Therapist
  • Bend, OR
National Provider Identifier
1912129073
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
HANDS ON PHYSICAL THERAPY, PC
Practice address
1441 SW Chandler Ave
Suite 103
Bend, OR 97702-3221
Phone
(541) 312-2252
NPI assigned
May 2, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lisa Marie Kennedy-Leary, PTNPI 1457572554
Title
Physical Therapist
Phone
(541) 312-2252

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X Primary

Addresses

Primary practice location

1441 SW Chandler Ave
Suite 103
Bend, OR 97702-3221

Mailing address

1441 SW Chandler Ave
Suite 103
Bend, OR 97702-3221
Phone (541) 312-2252

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060206000178 OR Part B Supplier - Clinic/Group Practice 9537173034 Receives reassigned benefits from 10 practitioners
Practice locations: Bend, OR

National Provider Directory

National Provider Directory

Locations

1441 SW Chandler Ave
Ste 103
Bend, OR 97702
Phone (541) 312-2252

147 SW Shevlin Hixon Dr
#1
Bend, OR 97702
Phone (541) 312-2252

147 SW Shevlin Hixon Dr
Ste 104
Bend, OR 97702
Phone (541) 312-2252

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912129073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 SW CHANDLER AVE",
            "address_2": "SUITE 103",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023221",
            "telephone_number": "541-312-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 SW CHANDLER AVE",
            "address_2": "SUITE 103",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023221",
            "telephone_number": "541-312-2252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANDS ON PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KENNEDY-LEARY",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "541-312-2252",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "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 Aug 22, 2020; 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.