Destination Rehab
NPI 1891230942ActiveOrganization· Physical Therapist· Bend, OR
Physical Therapist in Bend, Oregon, registered in NPPES in December 2016. The authorized official on file is Carol-Ann Nelson, PT, Executive Director. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1891230942 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 28, 2016 |
| Last updated in NPPES | Feb 24, 2020 |
| Certified by provider | Feb 24, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (OR) |
|---|
Other Physical Therapist providers in Bend
- 1932891363
- 1003058363
- 1184215790
- 1235078734
- 1326660606
- 1942163209
- 1700573367
- 1144206517
- 1891771192
- 1699477810
- 1346954294
- 1104125194