MEDICARE: DECIPHER PHYSIO, 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
1	261QP2000X	Physical Therapy Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1437381514	OTHER		NPI

General Provider Information

NPI Number	:	1679185862
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DECIPHER PHYSIO, LLC

Provider Business Mailing Address
First Line	:	1129 NE 12TH ST
Second Line	:
City	:	BEND
State	:	OR
Zip	:	97701-4413
Country	:	US
Telephone Number	:	541-728-3559
Fax Number	:

Provider Business Practice Location Address
First Line	:	1129 NE 12TH ST
Second Line	:
City	:	BEND
State	:	OR
Zip	:	97701-4413
Country	:	US
Telephone Number	:	541-728-3559
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PHYSICAL THERAPIST
Name	:	BREANNA CRAWFORD
Credential	:	DPT
Telephone Number	:	541-728-3559

Provider Enumeration Date	:	08/19/2020
Last Update Date	:	10/26/2020

Similar Medicare Providers

1437381514 — MRS. BREANNA RENE CRAWFORD PT
Practice Location Address:

1129 NE 12TH ST
BEND, OR
97701-4413

Practice Phone: 541-728-3559
Practice Fax: 541-241-3903

1194865808 — NORTH BEND FIRE DEPARTMENT
Practice Location Address:

1240 MAPLE ST
NORTH BEND, NE
68649-4413

Practice Phone: 402-652-8161
Practice Fax:

1689524373 — RIAN HENRY HEIGES CPHT
Practice Location Address:

2500 NE NEFF RD
BEND, OR
97701-6015

Practice Phone: 541-382-4321
Practice Fax:

1285584664 — SADIE LARSON-ROBINSON
Practice Location Address:

2500 NE NEFF RD
BEND, OR
97701-6015

Practice Phone: 541-706-5800
Practice Fax:

1417808874 — LISKA I JEWELL
Practice Location Address:

354 NE GREENWOOD AVE STE 110
BEND, OR
97701-4600

Practice Phone: 541-316-8089
Practice Fax:

1306797287 — WOVEN PATH CLINICAL SERVICES, LLC
Practice Location Address:

63420 HUGHES RD
BEND, OR
97701-8234

Practice Phone: 541-420-4385
Practice Fax:

Directions to “DECIPHER PHYSIO, 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.