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NPI Code Detail

MEDICARE: BENCHMARK PHYSICAL THERAPY OF OR, LLC

MEDICARE: BENCHMARK PHYSICAL THERAPY OF OR, LLC
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
1225X00000XOccupational Therapist
2225100000XPhysical Therapist

General Provider Information

NPI Number : 1326660606
Entity Type Code : Organization
Provider Name (Legal Business Name) : BENCHMARK PHYSICAL THERAPY OF OR, LLC
Provider Business Mailing Address
First Line : 1200 CORPORATE DR STE 400
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35242-5424
Country : US
Telephone Number : 423-238-8923
Fax Number :
Provider Business Practice Location Address
First Line : 2185 NW SHEVLIN PARK RD
Second Line :
City : BEND
State : OR
Zip : 97703-7101
Country : US
Telephone Number : 541-728-0713
Fax Number : 541-728-0715
Authorized Official
Title or Position : CFO
Name : BRYAN BARGANIER
Credential :
Telephone Number : 205-536-7602
Provider Enumeration Date : 05/10/2020
Last Update Date : 05/10/2020

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Directions to “BENCHMARK PHYSICAL THERAPY OF OR, LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.