- Practice location
- 19879 5TH Street, Bend, OR 97703
- Phone
- 541-588-2646
- Fax
- 541-610-1666
- Last updated
- January 9, 2020
Grant Jason Carson is a Physical Therapist based in Bend, OR. Grant Jason Carson practices in Bend, OR and has the professional credentials of PT. The NPI Number for Grant Jason Carson is 1972519007 and holds a License No. 5298 (OR). The current practice location address for Grant Jason Carson is 19879 5TH Street, Bend, OR 97703 and can be reached out via phone at 541-588-2646 and via fax at 541-610-1666.
Provider Profile Details
- NPI Number
- 1972519007
- Provider Name
- Grant Jason Carson
- Credential
- PT
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 19879 5TH Street, Bend, OR 97703
- Phone Number
- 541-588-2646
- Fax Number
- 541-610-1666
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 31, 2006
- Last Update Date
- January 9, 2020
- Certification Date
- January 9, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 19879 5TH Street
Bend, OR 97703 - City
- Bend
- State
- Oregon
- Zip
- 97703
- Phone Number
- 541-588-2646
- Fax Number
- 541-610-1666
Provider Business Mailing Address Details
- Address
- 19879 5TH Street
Bend, OR 97703 - City
- Bend
- State
- OR
- Zip
- 97703
- Phone Number
- 541-588-2646
- Fax Number
- 541-610-1666
License Information
- License Number
- 5298
- License State
- OR
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy 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 Mr. Grant J Carson, PT?
The NPI number of Mr. Grant J Carson, PT is 1972519007. It was assigned on July 31, 2006 and is currently active in the NPPES registry.
What is the specialty of Mr. Grant J Carson, PT?
Mr. Grant J Carson, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in OR under license number 5298.
Where does Mr. Grant J Carson, PT practice?
The practice location is 19879 5TH Street, Bend, OR 97703. The office can be reached at 541-588-2646 (phone) or 541-610-1666 (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 1972519007 directly on the NPPES registry website.