Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Caldera Physical Therapy LLC

Organization Physical Therapist · NPI 1104501600

Caldera Physical Therapy LLC is a Physical Therapist in Sunriver, Oregon. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

57031 Ponderosa Rd Bldg 27 Ste M2
Sunriver, OR 97707-8708
Phone: (541) 585-0313
Fax: (541) 585-0312
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1104501600
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Victoria D'Auteuil — Owner · (541) 585-0313
NPI enumeratedJune 21, 2023
Last updated in NPPESSeptember 19, 2023
Certification dateSeptember 18, 2023
Mailing address16675 Masten Mill Dr, La Pine, OR 97739-8708

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