SHAWN D AXTEN (NPI# 1922158377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922158377 |
| Entity Type | Individual |
| Full Name | SHAWN D AXTEN |
| Credential | PT,CST-D |
| Practice Address |
2955 N Hwy 97 100 Bend OR 97703-7559 |
| Mailing Address |
Po Box 444 Bend OR 97709-0444 |
| Practice Telephone | 5416004651 |
| Practice Fax Number | 5416004731 |
| Mailing Telephone | 5416004651 |
| Mailing Fax Number | 5416004731 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2017-02-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2081P0010X |
Physical Medicine & Rehabilitation Specialization: Pediatric Rehabilitation Medicine |
WAPT0000574 | WA | Allopathic & Osteopathic Physicians |
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
01557 | OR | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | OREGON PT LICENSING BOARD | 01557 | 01 |
| WA | WA PHYSICAL THERAPY LICENSING BOARD | 00005748 | 01 |
| Street Address |
2955 N HWY 97 100 |
| City | BEND |
| State | OR |
| Zip Code | 97703-7559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487129235 | Journey Health, Inc | Clinic/Center | 2955 N Hwy 97, Bend, OR 97703-7559 | 2018-10-09 |
| 1467951962 | Active Motion Chiropractic | Clinic/Center | 2955 N Hwy 97, Bend, OR 97703-7559 | 2018-02-09 |
| 1386199743 | Elizabeth Schantz | Massage Therapist | 2955 N Hwy 97, Suite 208, Bend, OR 97703-7559 | 2016-08-15 |
| 1952854481 | Kara Kelly, LLC | Nurse Practitioner | 2955 N Hwy 97, Suite 102, Bend, OR 97703-7559 | 2016-08-02 |
| 1770935900 | Christopher Neary | Naturopath | 2955 N Hwy 97, Bend, OR 97703-7559 | 2016-07-12 |
| 1811380157 | Carey Ann Pulido | Nurse Practitioner | 2955 N Hwy 97, Bend, OR 97703-7559 | 2015-03-11 |
| 1821489238 | Upward Mobility Solutions, LLC | Clinic/Center | 2955 N Hwy 97, Suite 100, Bend, OR 97703-7559 | 2015-02-07 |
| 1588941728 | Bonnie Skakel | Acupuncturist | 2955 N Hwy 97, Bend, OR 97703-7559 | 2011-11-15 |
| 1932418159 | Elizabeth Xenia Quint | Chiropractor | 2955 N Hwy 97, Ste 200, Bend, OR 97703-7559 | 2010-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285250704 | Elizabeth Jane Lindt | Counselor | 63311 Jamison Street, Bend, OR 97703 | 2020-06-20 |
| 1790318145 | Leah Alice Williamson | Counselor | 118 Nw Thurston Ave, Bend, OR 97703 | 2020-02-13 |
| 1831658301 | Pretty Moments Lingerie, LLC | Durable Medical Equipment & Medical Supplies | 63455 N Hwy 97 Suite 44, Bend, OR 97703 | 2019-03-14 |
| 1821561150 | Kevin Hallmeyer | Chiropractor | 750 Nw Charbonneau St., Suite 101, Bend, OR 97703 | 2019-01-09 |
| 1346743267 | Jesse Maggie Mae Abraham | Massage Therapist | 39 Nw Lousiana Ave, Bend, OR 97703 | 2018-03-16 |
| 1891202396 | Jerod Paul Michael | Speech-Language Pathologist | 2736 Nw Crossing Dr, Ste. 120, Bend, OR 97703 | 2018-01-05 |
| 1952823023 | Dan Packman | Massage Therapist | 2955 N. Hwy 97, Ste 105, Riverside Wellness, Voila Massage, Bend, OR 97703 | 2017-07-11 |
| 1023460102 | Brennon Patrick Moore | Counselor | 835 Nw Bond St Ste 100, Bend, OR 97703 | 2016-07-12 |
| 1093160269 | Eric Hinds | Optometrist | 63455 N Highway 97 Ste 75, Bend, OR 97703 | 2016-04-25 |
| 1417316191 | Ronald Guiley Od, Mph, PC | Clinic/Center | 63455 N Hwy 97, Ste 75, Bend, OR 97703 | 2016-02-23 |
| Find all providers in zip 97703 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689228686 | Ground Work Physical Therapy | Clinic/Center | 2330 Ne Division St Ste 1, Bend, OR 97703-3570 | 2019-07-29 |
| 1255882635 | Sampson Physical Therapy, Inc | Clinic/Center | 121 Nw Greenwood Ave Ste 101, Bend, OR 97703-2079 | 2016-10-20 |
| 1548681547 | Promotion Physical Therapy | Clinic/Center | 845 Nw Delaware Ave, Suite 102, Bend, OR 97701-3276 | 2013-12-18 |
| 1568710945 | Momentum Physical Therapy | Clinic/Center | 61971 Kildonan Court, Bend, OR 97702 | 2012-08-16 |
| 1003149485 | Core Physical Therapy and Spine LLC | Clinic/Center | 336 Sw Cyber Dr Ste 107, Bend, OR 97702-1682 | 2009-09-16 |
| 1124272588 | Jennifer Brassfield Physical Therapy LLC | Clinic/Center | 121 Nw Greenwood Ave, Suite 102, Bend, OR 97701-2079 | 2008-11-12 |
| 1871191981 | Outside Movement Physical Therapy | Clinic/Center | 1010 Nw Harriman St, Bend, OR 97703-1912 | 2020-10-12 |
| 1679185862 | Decipher Physio, LLC | Clinic/Center | 1129 Ne 12th St, Bend, OR 97701-4413 | 2020-08-19 |
| 1063989390 | Resolve Physical Therapy | Clinic/Center | 1740 Nw Pence Ln Ste 5, Bend, OR 97703-6743 | 2018-10-24 |
| 1558861823 | Low Five Productions, LLC | Clinic/Center | 2753 Nw Lolo Dr, Bend, OR 97703-7288 | 2018-02-13 |
| 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.