Timothy B Bisby
Individual provider Active NPI Massage Therapist · Bend, OR
NPI 1982256863 · NPPES record last updated Jul 11, 2019
Key facts
- NPI
- 1982256863
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- Practice address
- 55 NW Wall St Ste 100
Bend, OR 97703-3200 - Phone
- (541) 389-4321
- Fax
- (541) 389-4420
- NPI assigned
- Jul 11, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Falling Waters LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | OR | Yes |
Addresses
Primary practice location
55 NW Wall St Ste 100
Bend, OR 97703-3200
Mailing address
55 NW Wall St Ste 100
Bend, OR 97703-3200
Phone (541) 389-4321
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.