Bend Physical Therapy Associates

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

BEND PHYSICAL THERAPY ASSOCIATES

Doing business as

TAI Central Oregon Redmond

Practice address

413 NW Larch Ave
Suite 102
Redmond, OR 97756-1361

Phone

(541) 923-7494

Fax

(541) 504-9153

NPI assigned

Jan 4, 2006

Last updated

Sep 9, 2010By the provider in NPPES

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, PTNPI 1770933061

Title

Coo

Phone

(800) 219-8835

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• TAI Central Oregon Redmond Doing business as

Practitioners 1

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.

• Todd Gifford, COO

  • Physical Therapist
  • Tigard, OR
  • NPI 1770933061
  Authorized official Same address or phone

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283990400000",
    "number": "1932187689",
    "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": "503-443-1402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 NW LARCH AVE",
            "address_2": "SUITE 102",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977561361",
            "telephone_number": "541-923-7494",
            "fax_number": "541-504-9153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEND PHYSICAL THERAPY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-04",
        "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": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP",
            "identifier": "197671000",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TAI Central Oregon Redmond",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Denise A Belsher, CHW
• Benchmark Physical Therapy of Or, LLC
• Benchmark Physical Therapy of Or, LLC
• Bend Memorial Clinic PC
• Bend Memorial Clinic PC
• Kathline Benitez, CADC
• Kelli Diane Bennett
• Anna C Benson
• Kambry Alise Berg, LMT
• Joanne M Bernt, PT

• Physical Therapist in Redmond, OR
• Providers in Redmond, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.