Active NPIIndividual providerSole proprietor

Shawn D Axten, PT, CST-D

Clinic/Center, Physical Therapy in Bend, Oregon

NPI Number1922158377
Practice location
20360 Empire Ave # B-9a, Bend, OR 97703-5709
Fax
541-706-9330
Last updated
June 19, 2024

Shawn D Axten, PT, CST-D is a Clinic/Center, Physical Therapy based in Bend, OR. Shawn D Axten, PT, CST-D holds the professional credentials of PT, CST-D. The NPI number for Shawn D Axten, PT, CST-D is 1922158377 and holds license No. WAPT0000574 (WA). The current practice location address is 20360 Empire Ave # B-9a, Bend, OR 97703-5709 and the office can be reached by phone at 360-607-7226 and by fax at 541-706-9330. The NPI was assigned on January 10, 2007 and the record was last updated in NPPES on June 19, 2024.

●Provider Profile Details

NPI Number
1922158377
Provider Name
Shawn D Axten
Credential
PT, CST-D
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Clinic/Center, Physical Therapy · 261QP2000X
Sole Proprietor
Yes
Enumeration Date
January 10, 2007
Last Update Date
June 19, 2024
Certification Date
June 19, 2024
NPI Status
Active

◉Business Practice Location Address

Address
20360 Empire Ave # B-9a
Bend, OR 97703-5709
City
Bend
State
Oregon
ZIP
97703-5709
Country
US
Phone Number
360-607-7226
Fax Number
541-706-9330

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✉Business Mailing Address

Address
Po Box 444
Bend, OR 97709-0444
City
Bend
State
OR
ZIP
97709-0444
Phone Number
360-607-7226
Fax Number
541-706-9330

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine2081P0010XNoWAPT0000574WA
Clinic/Center, Physical Therapy261QP2000XYes01557OR

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Shawn D Axten, PT, CST-D?

The NPI number of Shawn D Axten, PT, CST-D is 1922158377. It was assigned on January 10, 2007 and is currently active in the NPPES registry.

What is the specialty of Shawn D Axten, PT, CST-D?

Shawn D Axten, PT, CST-D is registered under the primary taxonomy Clinic/Center, Physical Therapy (code 261QP2000X) and holds license No. WAPT0000574 (WA).

Where does Shawn D Axten, PT, CST-D practice?

The practice location is 20360 Empire Ave # B-9a, Bend, OR 97703-5709. The office can be reached at 360-607-7226 (phone) or 541-706-9330 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1922158377 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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