Unknown Individual – Physical Therapist, NPI 1184617847

Unknown Individual is a healthcare provider. based in Sisters, Oregon. specializing in Physical Therapist. They hold a License No. 5396 (OR). The NPI Number for Unknown Individual is 1184617847

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1184617847
Phone
(541) 549-6767
Address
14827 BLUEGRASS LOOP
Deactivation Date
21 June 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 14827 BLUEGRASS LOOP

    SISTERS, OR 977593114

    Phone: (541) 549-6767

    Type: Mailing

  • North Locust Street, Sisters, Deschutes County, Oregon, 97759, United States

    SISTERS, OR 97759

    Phone: (541) 549-3534

    Fax: (541) 549-1272

    Type: Location

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 97759)

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Provider's Procedures

Unknown Individual performs procedures in Physical Therapist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYOR97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes14433

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1184617847.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Physical Therapist. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Sisters, Oregon in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.