# REBOUND PHYSICAL THERAPY II, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Rebound Physical Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346484797
- **Authorized official:** JENNIFER RICHARDSON (MED BILLING & INSURANCE MANAGER)
- **Authorized official phone:** (541) 585-2529

## Contact information

- **Practice address:** 51600 HUNTINGTON RD, SUITE B, LA PINE, OR 97739-9626
- **Practice address phone:** (541) 536-7443
- **Practice address fax:** (541) 536-7805
- **Mailing address:** 805 SW INDUSTRIAL WAY, SUITE 3, BEND, OR 97702-1093
- **Mailing address phone:** (541) 585-2529
- **Mailing address fax:** (541) 585-2536

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | — | NULL | — |
| 171100000X | Acupuncturist | — | — | — |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 04/29/2009
- **Last updated:** 01/20/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 500609593 | — | OR |
| 01 | — | 523039000 | REGENCE BLUE CROSS | OR |