PRO MOTION PHYSICAL THERAPY OF BEND (NPI# 1639530249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639530249 |
| Entity Type | Organization |
| Organization Name | PRO MOTION PHYSICAL THERAPY OF BEND |
| Other Organization Name | PROMOTION PHYSICAL THERAPY |
| Practice Address |
1693 Sw Chandler Ave Suite 140 Bend OR 97702-3236 |
| Mailing Address |
Po Box 72 Bend OR 97709-0072 |
| Practice Telephone | 5413900523 |
| Practice Fax Number | 5417874383 |
| Mailing Telephone | 5413900523 |
| Mailing Fax Number | 5417874383 |
| Enumeration Date | 2016-03-09 |
| Last Update Date | 2016-04-14 |
| Authorized Official Name | MR. WILLIAM BLAKE MATLOCK (OWNER) |
| Authorized Official Telephone | 5413900523 |
| Authorized Official Credential | B.S., MSPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
04366 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Promotion Physical Therapy | Doing Business As Name - Organization |
| Street Address |
1693 SW CHANDLER AVE SUITE 140 |
| City | BEND |
| State | OR |
| Zip Code | 97702-3236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548258320 | Scott Vincent Olson | Chiropractor | 1693 Sw Chandler Ave, Ste 130, Bend, OR 97702-3236 | 2005-10-06 |
| 1346633294 | Deschutes Orthopedics, LLC | Orthopaedic Surgery | 1693 Sw Chandler Ave, Suite 250, Bend, OR 97702-3236 | 2015-03-16 |
| 1295075984 | Summit Health Solutions | Pain Medicine | 1693 Sw Chandler Ave, Suite 260, Bend, OR 97702-3236 | 2013-02-18 |
| 1851679583 | Oregon Trail Health Care | Anesthesiology | 1693 Sw Chandler Ave, 260, Bend, OR 97702-3236 | 2011-07-29 |
| 1013228295 | William Blake Matlock | Physical Therapist | 1693 Sw Chandler Ave, Suite 140, Bend, OR 97702-3236 | 2010-06-23 |
| 1588835383 | Rod Wigle M.d., LLC | Orthopaedic Surgery | 1693 Sw Chandler Ave, 250, Bend, OR 97702-3236 | 2008-03-19 |
| 1447429360 | Olson Chiropractic Wellness Center | Chiropractor | 1693 Sw Chandler Ave, St 130, Bend, OR 97702-3236 | 2008-02-25 |
| 1265587372 | James O. Cunnington II | Dentist | 1693 Sw Chandler Ave, #280, Bend, OR 97702-3236 | 2007-01-25 |
| 1205813110 | Rodney Phillip Wigle | Orthopaedic Surgery | 1693 Sw Chandler Ave, Suite 250, Bend, OR 97702-3236 | 2005-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629676259 | Amy Michelle Anderson | Counselor | 233 Sw Wilson Ave, Ste 201, Bend, OR 97702 | 2020-10-15 |
| 1386259463 | Jacob Rehder | Counselor | 19717 Mt Batchelor Dr, #226, Bend, OR 97702 | 2020-09-15 |
| 1497385215 | Capacity Performance Therapy | Physical Medicine & Rehabilitation | 61125 Lodgepole Dr., Bend, OR 97702 | 2020-01-21 |
| 1962041707 | Shift Bend Functional Medicine | Family Medicine | 151 Sw Shevlin Hicks Dr, Suite #1, Bend, OR 97702 | 2019-12-26 |
| 1609435049 | Praxis Medical Group Inc | Orthopaedic Surgery | 1140 Sw Simpson Avenue, Suite 100, Bend, OR 97702 | 2019-06-10 |
| 1013485754 | Elana Leah Pesah | Social Worker | 138 Maaglei Harim Levin, Jerusalem, ISRAEL 97702 | 2018-11-12 |
| 1104303239 | Kyleigh Mcvey | Massage Therapist | 999 Sw Disk Dr, Bend, OR 97702 | 2018-07-21 |
| 1477042869 | Siloe Castaneda Huerta | Counselor | 1340 Nw Wall, Bend, Or, Bend, OR 97702 | 2018-05-02 |
| 1164910808 | Rebecca M Joyce | Social Worker | 1011 Sw Emkay Dr. Suite 101, Bend, OR 97702 | 2018-04-27 |
| 1093217978 | Jennifer Bury | Acupuncturist | 296 Sw Columbia St Ste D1, Bend, OR 97702 | 2018-03-06 |
| Find all providers in zip 97702 | ||||
| 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 |
| 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 |
| 1285946822 | Derek A Green | Physical Therapist | 330 Ne Marshall Ave, Bend, OR 97701-4346 | 2010-07-12 |
| 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.