Molly Sutherlin, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

10324 Issued in OR

Practice address

371 SW Upper Terrace Dr Ste 3
Bend, OR 97702-1560

Phone

(541) 316-0805

Fax

(541) 241-7670

NPI assigned

Jan 22, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Aspire Physical Therapy LLC

  • Physical Therapist
  • Bend, OR
  • NPI 1184215790
  NPD
• Aspire Physical Therapy LLC

  • Physical Therapist
  • Sisters, OR
  • NPI 1740997030
  NPD

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

{
    "created_epoch": "1737504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1952113359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "371 SW UPPER TERRACE DR STE 3",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021560",
            "telephone_number": "541-316-0805",
            "fax_number": "541-241-7670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 SW UPPER TERRACE DR STE 3",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021560",
            "telephone_number": "541-316-0805",
            "fax_number": "541-241-7670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "392 W Main Ave",
            "address_purpose": "LOCATION",
            "city": "Sisters",
            "state": "OR",
            "postal_code": "977590439",
            "country_code": "US",
            "telephone_number": "541-316-0805",
            "fax_number": "541-241-7670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUTHERLIN",
        "first_name": "MOLLY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-22",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OR",
            "license": "10324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Ann Surloff
• Susan Clifford
• Susan D. Jones, R.P.T., LLC
• Susan Kolb, Inc
• Charonne Nicole Sutherland, R.N.
• Sean Anthony Suttle, P.A - C.
• Aaron Sutton-Pado, DPT
• Erin Pamela Sutton, M.D.
• Evan Matthew Sutton, M.D.
• Carly Suzio

• Physical Therapy Assistant in Bend, OR
• Providers in Bend, OR by specialty
• Physical Therapy Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.