WILLIAM BLAKE MATLOCK (NPI# 1013228295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013228295 |
| Entity Type | Individual |
| Full Name | WILLIAM BLAKE MATLOCK |
| Credential | MSPT |
| Practice Address |
1693 Sw Chandler Ave Suite 140 Bend OR 97702-3236 |
| Mailing Address |
Po Box 72 Bend OR 97709-0072 |
| Practice Telephone | 5413900523 |
| Practice Fax Number | 5417874383 |
| Mailing Telephone | 5413900523 |
| Mailing Fax Number | 5417874383 |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2016-04-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 4366 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1693 SW CHANDLER AVE SUITE 140 |
| City | BEND |
| State | OR |
| Zip Code | 97702-3236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548258320 | Scott Vincent Olson | Chiropractor | 1693 Sw Chandler Ave, Ste 130, Bend, OR 97702-3236 | 2005-10-06 |
| 1639530249 | Pro Motion Physical Therapy of Bend | Physical Therapist | 1693 Sw Chandler Ave, Suite 140, Bend, OR 97702-3236 | 2016-03-09 |
| 1346633294 | Deschutes Orthopedics, LLC | Orthopaedic Surgery | 1693 Sw Chandler Ave, Suite 250, Bend, OR 97702-3236 | 2015-03-16 |
| 1295075984 | Summit Health Solutions | Pain Medicine | 1693 Sw Chandler Ave, Suite 260, Bend, OR 97702-3236 | 2013-02-18 |
| 1851679583 | Oregon Trail Health Care | Anesthesiology | 1693 Sw Chandler Ave, 260, Bend, OR 97702-3236 | 2011-07-29 |
| 1588835383 | Rod Wigle M.d., LLC | Orthopaedic Surgery | 1693 Sw Chandler Ave, 250, Bend, OR 97702-3236 | 2008-03-19 |
| 1447429360 | Olson Chiropractic Wellness Center | Chiropractor | 1693 Sw Chandler Ave, St 130, Bend, OR 97702-3236 | 2008-02-25 |
| 1265587372 | James O. Cunnington II | Dentist | 1693 Sw Chandler Ave, #280, Bend, OR 97702-3236 | 2007-01-25 |
| 1205813110 | Rodney Phillip Wigle | Orthopaedic Surgery | 1693 Sw Chandler Ave, Suite 250, Bend, OR 97702-3236 | 2005-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629676259 | Amy Michelle Anderson | Counselor | 233 Sw Wilson Ave, Ste 201, Bend, OR 97702 | 2020-10-15 |
| 1386259463 | Jacob Rehder | Counselor | 19717 Mt Batchelor Dr, #226, Bend, OR 97702 | 2020-09-15 |
| 1497385215 | Capacity Performance Therapy | Physical Medicine & Rehabilitation | 61125 Lodgepole Dr., Bend, OR 97702 | 2020-01-21 |
| 1962041707 | Shift Bend Functional Medicine | Family Medicine | 151 Sw Shevlin Hicks Dr, Suite #1, Bend, OR 97702 | 2019-12-26 |
| 1609435049 | Praxis Medical Group Inc | Orthopaedic Surgery | 1140 Sw Simpson Avenue, Suite 100, Bend, OR 97702 | 2019-06-10 |
| 1013485754 | Elana Leah Pesah | Social Worker | 138 Maaglei Harim Levin, Jerusalem, ISRAEL 97702 | 2018-11-12 |
| 1104303239 | Kyleigh Mcvey | Massage Therapist | 999 Sw Disk Dr, Bend, OR 97702 | 2018-07-21 |
| 1477042869 | Siloe Castaneda Huerta | Counselor | 1340 Nw Wall, Bend, Or, Bend, OR 97702 | 2018-05-02 |
| 1164910808 | Rebecca M Joyce | Social Worker | 1011 Sw Emkay Dr. Suite 101, Bend, OR 97702 | 2018-04-27 |
| 1093217978 | Jennifer Bury | Acupuncturist | 296 Sw Columbia St Ste D1, Bend, OR 97702 | 2018-03-06 |
| Find all providers in zip 97702 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780224196 | Moving Mountains Therapy At Home LLC | Physical Therapist | 20469 Jacklight Ln, Bend, OR 97702-3074 | 2020-01-14 |
| 1710524269 | Sunrise Physio LLC | Physical Therapist | 63279 Saddleback Dr, Bend, OR 97703-9183 | 2019-12-03 |
| 1760979843 | Alexandra Tepoorten | Physical Therapist | 2185 Nw Shevlin Park Rd, Bend, OR 97703-7101 | 2018-04-15 |
| 1649784224 | Kelly Christine Nottingham | Physical Therapist | 1693 Sw Chandler Ave Ste 140, Bend, OR 97702-3230 | 2017-11-19 |
| 1518406420 | Jill Stephenson | Physical Therapist | 915 Ne 7th St Ste 1, Bend, OR 97701-4515 | 2017-02-13 |
| 1215397005 | Christy May | Physical Therapist | 61218 Mount Vista Dr, Bend, OR 97702-9603 | 2016-03-07 |
| 1174983415 | Carol Roeder | Physical Therapist | 155 Sw Century Dr Ste 110, Bend, OR 97702-1657 | 2016-02-29 |
| 1134545254 | Marjorie Sheryl Robertson | Physical Therapist | 147 Sw Shevlin Hixon Dr Ste 104, Bend, OR 97702-3185 | 2014-03-13 |
| 1740610591 | Christopher Donald Marion | Physical Therapist | 246 Nw Linster Pl, Bend, OR 97701-1335 | 2013-11-14 |
| 1366876781 | Kathryn Cross | Physical Therapist | 1607 Nw Farewell Dr, Bend, OR 97701-5672 | 2013-08-22 |
| Find all providers in BEND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.