Jenna E Kandravi Gates, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

60520 Issued in OR

Practice address

20995 NE Legend PL
Bend, OR 97701-7759

Phone

(541) 728-8013

NPI assigned

Apr 11, 2014

Last updated

Jan 20, 2023By the provider in NPPES

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

Enrolled in OR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

HD EnterprisesGroup PAC ID 7810374048, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• HD Enterprises

  dba Spark Rehab & Wellness

  • Physical Therapist
  • Bend, OR
  • NPI 1215605860
  Medicare reassignment Care Compare group NPD
• Gertler & Gertler P.C.

  • Clinical Psychologist
  • Bend, OR
  • NPI 1831498922
  NPD (past)

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

{
    "created_epoch": "1397174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1972922409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 KEEWAYDIN DR",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030792839",
            "telephone_number": "800-995-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20995 NE LEGEND PL",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977017759",
            "telephone_number": "541-728-8013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Keewaydin Dr",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "NH",
            "postal_code": "030792839",
            "country_code": "US",
            "telephone_number": "800-995-2673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GATES",
        "first_name": "JENNA",
        "middle_name": "E KANDRAVI",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-11",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "60520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dara Kay Gaskin, PA-C
• Rodrigo Gaspar Barajas, CHI
• Angie Gass
• Dylan Shea Gassert
• Marika Yedinak Gassner, D.O
• Jessica L Gatto, NP
• Carolyn Gaulke, FNP
• Anastasia Gauntlett
• Aisha Gaut, LMT
• Mikayla Gauthier, LMT

• 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 Jan 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.