MEDICARE: REBOUND PHYSICAL THERAPY LIMITED PARTNERSHIP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1225490162
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REBOUND PHYSICAL THERAPY LIMITED PARTNERSHIP

Provider Business Mailing Address
First Line	:	805 SW INDUSTRIAL WAY
Second Line	:	SUITE 3
City	:	BEND
State	:	OR
Zip	:	97702-1118
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1342 NE MEDICAL CENTER DR STE 150
Second Line	:
City	:	BEND
State	:	OR
Zip	:	97701-5919
Country	:	US
Telephone Number	:	413-827-8755
Fax Number	:	541-382-2181

Authorized Official
Title or Position	:	VP/AUTHORIZED OFFICIAL
Name	:	RICHARD BINSTEIN
Credential	:
Telephone Number	:	713-297-7000

Provider Enumeration Date	:	03/21/2016
Last Update Date	:	06/22/2023

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