Active NPI
Michelle Kwok, L.M.T.
- Mechanotherapist
- Bend, OR
National Provider Identifier
1972993301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- 15592
- Practice address
- 1554 NE 4TH St Ste 2
Bend, OR 97701-4240 - Phone
- (541) 848-8607
- Fax
- (971) 925-6807
- NPI assigned
- Jan 23, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | 15592 | OR | Primary |
Addresses
Primary practice location
1554 NE 4TH St Ste 2
Bend, OR 97701-4240
Mailing address
1660 NE 8TH St
Bend, OR 97701-4176
Phone (541) 848-8607
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15592 | OR | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616112000000",
"number": "1972993301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1660 NE 8TH ST",
"city": "BEND",
"state": "OR",
"postal_code": "977014176",
"telephone_number": "541-848-8607",
"fax_number": "971-925-6807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1554 NE 4TH ST STE 2",
"city": "BEND",
"state": "OR",
"postal_code": "977014240",
"telephone_number": "541-848-8607",
"fax_number": "971-925-6807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KWOK",
"first_name": "MICHELLE",
"name_prefix": "Ms.",
"credential": "L.M.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-23",
"last_updated": "2021-03-19",
"certification_date": "2021-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "OR",
"license": "15592",
"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 Mar 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.