ENDEAVOR PHYSICAL THERAPY, INC. – Physical Therapist, NPI 1457577553
Physical Therapist
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ENDEAVOR PHYSICAL THERAPY, INC.
PO BOX 207
REEDS SPRING, MO 657370207
Phone: (503) 504-5981
Fax: (417) 281-3330
Type: Mailing
3940 GREEN MOUNTAIN DRIVE
COUNTRYSIDE PHYSICAL THERAPY
BRANSON, MO 65616
Phone: (503) 504-5981
Fax: (417) 281-3330
Type: Location
372 South Broadway
Estacada, OR 97023
Phone: (503) 630-5314
Fax: (503) 630-5315
Type: Location
19856 SE HIGHWAY 212
DAMASCUS, OR 970895743
Phone: (417) 559-2627
Fax: (503) 386-2745
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2009-07-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-02-29 (831 days ago).
Enrollment records
1
Earliest due date
2024-02-29
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20090714000500 | O | Clinic/Group Practice | OR | 2024-02-29 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 65737)
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