Healthcare Provider Details

I. General information

NPI: 1922157007
Provider Name (Legal Business Name): JOINT EFFORTS PHYSICAL THERAPY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2007
Last Update Date: 01/11/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2565 NE BUTLER MARKET RD STE 2
BEND OR
97701-1587
US

IV. Provider business mailing address

2565 NE BUTLER MARKET RD STE 2
BEND OR
97701-1587
US

V. Phone/Fax

Practice location:
  • Phone: 541-382-9268
  • Fax: 541-382-6497
Mailing address:
  • Phone: 541-382-9268
  • Fax: 541-382-6497

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number StateOR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MR. SCOTT ALAN RUBY
Title or Position: PHYSICAL THERAPIST AND MEMBER
Credential: PT
Phone: 541-382-9268