Shawn D Axten, PT,CST-D

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

01557 Issued in OR

Practice address

20360 Empire Ave # B-9a
Bend, OR 97703-5709

Phone

(360) 607-7226

Fax

(541) 706-9330

NPI assigned

Jan 10, 2007

Last updated

Jun 19, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Upward Mobility Solutions, LLC

  • Physical Therapy Clinic/Center
  • Bend, OR
  • NPI 1821489238
  Authorized official Same address or phone

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1922158377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 444",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977090444",
            "telephone_number": "360-607-7226",
            "fax_number": "541-706-9330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20360 EMPIRE AVE # B-9A",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977035709",
            "telephone_number": "360-607-7226",
            "fax_number": "541-706-9330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AXTEN",
        "first_name": "SHAWN",
        "middle_name": "D",
        "credential": "PT,CST-D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
            "state": "WA",
            "license": "WAPT0000574",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "OR",
            "license": "01557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Lynnette Averre, MS, CADC
• Jarret Avery
• Jordan Avila
• Awbrey Dental Group PC
• Karen Langer Axten, M.D.
• Patrick Ayres, O.D.
• Amir Azarisamani, MD, DMD
• Michael Daniel Azevedo
• Gregg Darius Azin, MD
• Paula Babb

• 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 Jun 19, 2024; 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.