MR. DEREK A GREEN (NPI# 1285946822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285946822 |
| Entity Type | Individual |
| Full Name | MR. DEREK A GREEN |
| Credential | DPT |
| Practice Address |
330 Ne Marshall Ave Bend OR 97701-4346 |
| Practice Telephone | 5413838179 |
| Practice Fax Number | 5413822879 |
| Mailing Telephone | 5413838179 |
| Mailing Fax Number | 5413822879 |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2014-05-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
6254 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500652855 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164950457 | Derek Green | Dentist | 8535 E Hartford Dr Ste 202, Scottsdale, AZ 85255-5444 | 2017-05-31 |
| 1003096694 | Derek R. Green | Pharmacist | 1401 Professional Blvd, Suite 101, Evansville, IN 47714-8011 | 2007-11-12 |
| Street Address |
330 NE MARSHALL AVE |
| City | BEND |
| State | OR |
| Zip Code | 97701-4346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043395106 | Meghan Hillary Navish | Physical Therapist | 330 Ne Marshall Ave, Bend, OR 97701-4346 | 2006-10-26 |
| 1649503483 | Erin Henderson | Physical Therapist | 330 Ne Marshall Ave, Bend, OR 97701-4346 | 2009-09-11 |
| 1104041185 | Physical Therapy Works, Inc | Physical Therapist | 330 Ne Marshall Ave, Bend, OR 97701-4346 | 2007-04-16 |
| 1982764817 | Thomas A Pietrowski | Physical Therapist | 330 Ne Marshall Ave, Bend, OR 97701-4346 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104465525 | Andrew Kyle Burzynski | Denturist | 853 Ne 4th St., Bend, OR 97701 | 2020-01-02 |
| 1013480714 | Andrew Traut | Specialist/Technologist | Oregon State Force Lab, 2200 Ne Neff Rd Suite 202, Bend, OR 97701 | 2019-01-04 |
| 1871063917 | Calley Asbill, Nd LLC | Chiropractor | 2146 Ne 4th Street, Suite 160, Bend, OR 97701 | 2018-12-02 |
| 1902372212 | Carisa S Battin | Counselor | 361 Ne Franklin Avenue Bldg E #4, Bend, OR 97701 | 2018-10-15 |
| 1366921223 | Hillside Eye Center LLC | Ophthalmology | 625 Nw Colorado Avenue, Bend, OR 97701 | 2018-08-11 |
| 1528545514 | Kellie Michiko Kawasaki-jones | Dentist | 62968 Ob Riley Road, Suite 12, Bend, OR 97701 | 2018-07-23 |
| 1992255327 | Shelby Chiropractic | Chiropractor | 561 Ne Bellevue Dr Ste 102, Bend, OR 97701 | 2016-10-10 |
| 1144671520 | Kevin Richard Pett | Acupuncturist | 39 Nw Louisanna Ave., Hawthorn Healing Arts Center, Bend, OR 97701 | 2016-06-27 |
| 1912357500 | Sheldon Shawn Doveri | Driver | 233 Nw Revere Ave, Bend, OR 97701 | 2016-06-15 |
| 1740647411 | Anne Power | Homeopath | 2100 Ne Neff Rd Suite B, Bend, OR 97701 | 2016-01-26 |
| Find all providers in zip 97701 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548482672 | Stephen Micheal Leary | Physical Therapist | 147 Sw Shevlin Hixon Dr, Suite 104, Bend, OR 97702-3130 | 2007-05-02 |
| 1922157916 | Scott Alan Ruby | Physical Therapist | 2565 Ne Butler Market Rd Ste 2, Bend, OR 97701-1587 | 2007-01-09 |
| 1316953292 | Jacqueline Smelser | Physical Therapist | 750 Nw Charbonneau St, Suite 108, Bend, OR 97703 | 2006-07-31 |
| 1639530249 | Pro Motion Physical Therapy of Bend | Physical Therapist | 1693 Sw Chandler Ave, Suite 140, Bend, OR 97702-3236 | 2016-03-09 |
| 1144585548 | Lisa Ann Mccall, Inc. | Physical Therapist | 29 Nw Greeley Ave, Bend, OR 97701-2911 | 2012-07-11 |
| 1316209869 | Lisa Ann Mccall | Physical Therapist | 29 Nw Greeley Ave, Bend, OR 97701-2911 | 2012-06-11 |
| 1417243916 | Hannah Yorra | Physical Therapist | 55 Nw Wall St Ste 100, Bend, OR 97701-3200 | 2011-06-22 |
| 1184945602 | Douglas Bryan Malone | Physical Therapist | 1441 Sw Chandler Ave, Suite 103, Bend, OR 97702-3221 | 2010-06-18 |
| 1508006198 | Robin Smith | Physical Therapist | 1876 Ne Highway 20, Bend, OR 97701-4833 | 2009-02-23 |
| 1912129073 | Hands On Physical Therapy, PC | Physical Therapist | 1441 Sw Chandler Ave, Suite 103, Bend, OR 97702-3221 | 2007-05-02 |
| Find all providers in BEND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.