# REBOUND PHYSICAL THERAPY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902926140
- **Authorized official:** JENNIFER RICHARDSON (COMPLIANCE COORDINATOR)
- **Authorized official phone:** (541) 585-2529

## Contact information

- **Practice address:** 425 N MAIN ST, PRINEVILLE, OR 97754-1855
- **Practice address phone:** (541) 416-7476
- **Practice address fax:** (541) 416-7478
- **Mailing address:** 805 SW INDUSTRIAL WAY, SUITE 3, BEND, OR 97702-1093
- **Mailing address phone:** (541) 585-2529
- **Mailing address fax:** (541) 585-2535

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 0965536-8 | OR | Yes |
| 225XH1200X | Hand Occupational Therapist | — | NULL | — |
| 225XH1200X | Hand Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 03/30/2007
- **Last updated:** 05/07/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 234859 | — | OR |