Provider Demographics
NPI:1871958777
Name:RODE PHYSICAL THERAPY
Entity type:Organization
Organization Name:RODE PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JILL
Authorized Official - Middle Name:L
Authorized Official - Last Name:FREUND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-647-1665
Mailing Address - Street 1:745 NW MT WASHINGTON DR
Mailing Address - Street 2:SUITE 108
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97703-1574
Mailing Address - Country:US
Mailing Address - Phone:971-219-7711
Mailing Address - Fax:541-647-1666
Practice Address - Street 1:745 NW MT WASHINGTON DR
Practice Address - Street 2:SUITE 108
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97703-1574
Practice Address - Country:US
Practice Address - Phone:971-219-7711
Practice Address - Fax:541-647-1666
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-18
Last Update Date:2015-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR4233225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty